Patient Care Coordinator

Description We are looking for a Patient Care Coordinator to support individuals in Grand Rapids, Michigan by helping them access medical care, community resources, and wellness services within a non-profit setting. This Long-term Contract position focuses on guiding residents through care options, benefits enrollment, and health education while promoting stability and improved overall well-being. The role partners closely with internal support teams and external providers to encourage consistent engagement in services and reduce avoidable health crises.

Responsibilities:

• Guide residents through healthcare services, including appointment coordination, benefit enrollment support, and connections to primary care and behavioral health providers.
• Complete screenings and individualized assessments to help shape practical care plans that reflect each resident's goals, strengths, and needs.
• Provide education on wellness, chronic condition management, overdose prevention, safer use practices, stress reduction, and access to telehealth or digital health tools.
• Offer one-on-one coaching that encourages residents to participate in care, follow through on service plans, and build confidence in managing their health needs.
• Work alongside housing and community support staff to align wellness objectives with broader housing stability plans and update progress on a regular basis.
• Build and maintain working relationships with hospitals, clinics, crisis teams, and community agencies to improve timely access to coordinated services.
• Respond to urgent health-related situations with a trauma-informed and de-escalation-based approach, including follow-up support after immediate needs are addressed.
• Maintain accurate records of resident interactions, healthcare engagement, and program outcomes to support reporting, continuity of care, and quality improvement efforts.
• Assist with gathering and organizing documentation needed for public benefits, disability-related applications, and other supportive service programs. Requirements
• Bachelor's degree in a related discipline or at least 3 years of experience in healthcare, patient support, or social services.
• Demonstrated ability to work effectively with people from varied backgrounds and life experiences.
• Strong verbal and written communication skills with the ability to explain services and next steps clearly.
• Proficiency with Microsoft Office applications and comfort handling electronic documentation.
• Valid Michigan driver's license and dependable transportation for travel within the community.
• Familiarity with healthcare systems, Medicaid or public benefit processes, and care coordination practices is preferred.
• Experience supporting individuals facing homelessness, chronic health concerns, or complex social needs is preferred.

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