Bilingual Integrated Care Coach
$53,700–$72,600 year
On-sitePlantation Broward County, Florida, United States
Job Summary
Coordinate care for high-risk patients by conducting structured interviews, performing home visits to assess living conditions, and delivering culturally appropriate chronic disease education. Serve as a primary liaison between patients, primary care providers, specialists, and community resources to manage care transitions and address social barriers. Document findings, verify medication adherence, and escalate discrepancies to providers while reinforcing care plans using the 5Ms framework. Conduct timely follow-ups after hospitalizations and emergency department visits to ensure safe transitions. Work a Monday–Friday schedule with an average of two days per week in the clinic and two days at patients' homes, requiring a valid driver's license and personal vehicle insurance.
Required Qualifications
- Healthcare professional with 3+ years of Ambulatory, Primary Care, or Senior‐Care experience with direct patient care
- Ability to discuss chronic conditions and reinforce medication instructions
- Comfortability to regularly conduct home visits and community-based outreach
- Demonstrated experience in patient education, care coordination, and social support of high-risk or geriatric populations
- Must reside in designated market area
- Must be screened for TB
- Valid state driver's license
- Maintain personal vehicle liability insurance in accordance with residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
Desired Qualifications
- Active Unrestricted LPN/LVN license or MA Certification
- Licensed or Unlicensed Medical professional with equivalent foreign Registered Nurse (RN) or Physician license
- Bilingual in English and Spanish with the ability to read/write/speak in both languages
- Experience in care coordination, case management, population health and/or value-based care models
- Experience conducting post-hospital/ED follow up with appropriate escalation
- Familiarity with Medicaid, Long-term Care, and HCBS programs
- Experience working with seniors and medically complex populations
- Prior home visit experience and knowledge of field safety practices
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