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Job Description
Be Part Of Something Extraordinary. HealthWorks has officially moved into a brand-new, state-of-the-art facility—unlike anything else in Cheyenne! Our modern, thoughtfully designed space supports exceptional patient care, strong collaboration, and a workplace where healthcare professionals can truly thrive. Since 2005, HealthWorks has been a mission-driven, patient-centered Federally Qualified Health Center (FQHC), providing integrated medical, dental, behavioral health, and pharmacy services. We believe every patient deserves a true medical home—especially those with limited access to care. At HealthWorks, we recognize and support our diverse, dedicated team—and we invite you to join us in making a meaningful difference.
POSITION SUMMARY
The Community Coordinator plays a vital role in supporting patients by connecting them to healthcare and community resources. Working closely with medical providers, care teams, and community agencies, this role delivers short-term care coordination, education, and advocacy to improve patients' overall health and well-being. This position operates in both clinical and community-based settings.
ESSENTIAL FUNCTIONS
Provides a warm handoff in the clinic to provide patients with coordination care between mental health services, dental, and pharmacy Assist patients and families in understanding available programs and how they support health and well-being Identify and connect patients to resources addressing social determinants of health (housing, food, transportation, etc.) Develop and support individualized health and social service plans and goals Document patient encounters, care coordination efforts, and communications accurately in electronic records Maintain thorough patient files, including notes, assessments, releases, and reports Educate patients on appropriate healthcare utilization, including alternatives to emergency room use Coach patients and families to effectively navigate community resources and social programs Provide support and advocacy during medical visits and ensure understanding of referrals and care plans Coordinate care and follow up with patients, providers, and community partners Build and maintain relationships with social service agencies and community providers Assist patients with applications, scheduling, and access to services Facilitate communication among care teams, patients, and families Track patient progress and compliance with care plans Manage community or state programs (e.g., Ryan White, transportation services, LCCP programs) Participate in team and organizational meetings Maintain strict patient confidentiality in accordance with HIPAA guidelines
JOB REQUIREMENTS/EXPERIENCE
Education:
Bachelor's degree in health and wellness related fields of study. Degree in social work, nursing, wellness education, etc. preferable.
Knowledge, Skills and Abilities:
Strong communication and interpersonal skills Ability to build trust with individuals from diverse cultural and socio-economic backgrounds Knowledge of or willingness to learn community resources and social service systems Excellent organizational and documentation skills Ability to work collaboratively in a multidisciplinary team environment Experience in healthcare, social services, or community outreach preferred
Experience:
Two years' experience in community health, social work, direct patient care, mental health therapy or other related activities. Why Join HealthWorks? Work in a brand-new, cutting-edge facility Be part of a mission-driven organization making a real impact Collaborate with a supportive, team-oriented environment Help improve lives through integrated, patient-centered care Grow professionally while serving your community If you're passionate about helping others, building community connections, and making a difference in healthcare, we'd love to hear from you. Join HealthWorks—where care, compassion, and community come together.
Job Type:
Full-time Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
