CUA Care Coordinator

EMPLOYMENT STATUS:             Full-time

FLSA STATUS:                                Exempt

REPORTS TO:                                 Health & Wellness Program Manager

LOCATION:                                     Philadelphia

EFFECTIVEDATE:                         October 20, 2020



The Care Coordinator (CC) works in collaboration with the CUA case management team in continuous partnership with children and youth with special health care needs (CYSHCN), children with medical complexities (CMC) and their family/caregiver(s), clinic/hospital/specialty providers and staff in a team approach. The CC serves as an integral part of the case management team to help empower and engage parents/caregivers in the child’s healthcare by creating and promoting adherence to a care plan developed in coordination with the client, primary care provider and family/caregiver(s) all leading to improved health for the child/youth.  The CC will provide support, guidance and assistance to client and families and help connect them to relevant community resource with the goal of enhancing their health and well-being as they navigate through complex healthcare environment. 

While the Care Coordinator’s duties may vary dependent on clinical needs, the overarching purpose of this position is to collaborate with parents and caregivers to provide education and care coordination to help them manage their child/children’s medical conditions and health. This position requires home visitation and someone with a flexible work schedule. Work hours may vary, depending on needs of the program.


Bachelor’s Degree in a healthcare or field of specialization such as public health, health sciences, health management and/or other health related programs.


3-5 years’ experience in clinical or community resource settings; care coordination and/or case management experience is desirable.


  • Understanding of Managed Care Delivery Systems.
  • Knowledge of behavioral health, educational, and physical health services and community resources.
  • Experience with insurance verification (plans), patient financial services, medical record data abstraction, or data analysis. Acquiring knowledge of Patient Rights & Responsibilities, knowledge of Medical Terminology; knowledge of data collection, compilation, and analytical techniques. Evidence of effective communication, education, and counseling skills
  • Proactively acts as patient advocate, responding with empathy and respect to resolve patient and family concerns, and recognizes opportunities for improvement to meeting patient concerns
  • Proficiency with Windows-based software including Microsoft word, Excel, Outlook along with good history-taking skills, strong, competent computer skills; accurate and complete documentation skills; good time management and organizational skills.
  • Demonstrated ability to work independently and as part of a team.


  • Valid driver’s license, clean driving record and ability to use own vehicle when other means of transportation is not available.
  • Must be free from any communicable/infectious diseases.
  • Provide a valid PA child abuse clearance, FBI check and Criminal Background Check.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


  • Works with patients to plan and monitor care:
  • Assess patient’s unmet health and social needs
  • Develop a care plan with the client, family/caregiver(s) and providers (health management plan, medical summary, and ongoing action plan, as appropriate)
  • Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed
  • Complete the Basic Health Information Form along with MVR requests, Insurance verification and PCP changes.
  • Listens to and assesses patients' needs and as part of a collaborative process with the patient, plans interventions to help patients cope with social, emotional, economic, and environmental problems.
  • Interacts with the counterparts at Community Health Centers, Hospitals, Medical Centers, etc. and acts as a communication liaison to understand the patient's clinical individual needs, desires, and concerns.
  • Assess barriers to care and engage patients and families in creating potential solutions to financial, practical and social challenges.
  • Visits consumers in their home in collaboration with the case manager, Tabor RN and/or DHS RN Liaison in the community and in clinical settings.
  • Researches, selects and promotes adaptation of best practice findings to ensure quality care and optimal outcomes.
  • Identifies gaps in service and develops treatment strategies.
  • Attends all mandatory meetings and trainings.
  • All other duties as assigned.


Problem Solving         Communication                          Detailed Oriented      Organized

Team Work                 Customer Service & Delivery      Judgment                     Culturally Competent