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Patient Care Coordinator – Internal & Family Medicine
Unity Health Care | Washington, DC
Job Type: Full-Time | FLSA Status: Non-Exempt
Position Summary
Unity Health Care is seeking a Patient Care Coordinator – Internal & Family Medicine to support vulnerable and medically complex patients through care coordination, outreach, and patient navigation. This role works as part of an interdisciplinary care management team alongside providers, nurse care managers, and social service staff to ensure patients receive coordinated, patient-centered care.
The Patient Care Coordinator conducts outreach and care navigation across multiple settings throughout Washington, DC, including hospitals, primary care clinics, patient homes, homeless shelters, and community locations.
Key Responsibilities
Provide care coordination and patient navigation for vulnerable and high-risk patients
Develop, maintain, and support individualized patient-centered care plans
Use motivational interviewing techniques to build rapport and support patient health goals
Coordinate services between hospitals, primary care providers, specialists, and community organizations
Track patients following hospital discharge or emergency department visits and ensure follow-up care
Assist patients with insurance, transportation, translation services, and other barriers to care
Schedule appointments and coordinate specialty care referrals
Conduct outreach in clinics, hospitals, homes, and community settings
Identify and close gaps in preventive and chronic care services
Support panel management to reconnect patients lost to care
Participate in interdisciplinary case conferences and care team meetings
Provide culturally appropriate health education and support
Ensure compliance with HIPAA and Unity Health Care policies
Mentor site-based Care Coordinators and support care coordination processes across teams
Minimum Qualifications
High School Diploma or GED required
College coursework in business, healthcare, or related field preferred
2+ years of experience providing care coordination or patient navigation services
Experience in hospital, outpatient, or community health settings preferred
Experience working on interdisciplinary healthcare teams
Required Skills
Knowledge of medical terminology, ICD-10 codes, and healthcare procedures
Familiarity with community health, discharge planning, and chronic disease management
Strong interpersonal, organizational, and communication skills
Ability to work effectively with diverse patient populations
Proficiency with Microsoft Office and Electronic Medical Records (EMR) systems
Ability to analyze patient data and track care outcomes
Ability to travel between clinic locations and community sites in Washington, DC
Why Join Unity Health Care
Unity Health Care is a mission-driven organization dedicated to improving access to quality healthcare for the communities we serve.
Make a meaningful impact in underserved communities
Work in a collaborative and supportive healthcare environment
Opportunities for professional growth and development
Competitive compensation and benefits
Join Unity Health Care and help improve the health and well-being of our community.
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