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The Patient Care Facilitator provides intensive facilitation and coordination of services for patients who demonstrate a pattern of frequent inpatient utilization, with the goal of averting preventable inpatient admissions.
Core responsibilities include providing community-based visits (including home visits) and phone calls for high utilizers.

Requirements
Bachelors degree in Social Work or other health & human services related discipline preferred, although may be substituted with commensurate professional experience. Healthcare experience (3+ years) in the areas of care coordination, care management, community health work, patient navigation, and social services. Prefer candidates with experience working with patients in at least one of the following areas: Homelessness/housing assistance Drug and alcohol addiction Mental illness Child and family services Renal dialysis case management Bilingual (English/Spanish) a plus but not required. Will require travel to the community and to patient homes.
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