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Complex Care Coordinator

Open Position at CVHHH

Complex Care Coordinator

Posted: April 19, 2023
Job Type: Full-time
Job Location: Barre, Vermont
Wage or Salary: Minimum Starting Salary $80,000
About the Position

Who We Are

Central Vermont Home Health & Hospice is a full service, not-for-profit Visiting Nurse Association committed to providing high quality, medically-necessary home health and hospice care to all central Vermonters, regardless of a person’s ability to pay. In addition, we promote the general welfare of all central Vermonters with health promotion, long term care, and maternal-and-child health services.


Who You Are 

  • You have well developed interpersonal communication and organization skills.
  • You possess comprehensive knowledge of chronic health conditions.
  • You are versed in how to navigate the health care system including community resources.
  • You are able to quickly identify and prioritize patient needs and provide structured and focused support and interventions.
  • You have the ability to be flexible and adaptable to change and respond in a constructive manner.
  • You have sound critical thinking and creative problem-solving skills.
  • You enjoy working collaboratively and in a productive manner with Primary Care Providers, peers, subordinates, and managers, as well as the general public required.


If this is you, read on & apply!


Your Day-to-Day

  • Serve as the program leader and point of contact for CVHHH’s Care Coordination program with OneCare Vermont (OCV), an Accountable Care Organization (ACO).
  • Participate in OCV local and statewide Care Coordination Core Team meetings and other meetings with community partners as considered appropriate.
  • Collaborate with CVHHH visiting staff (case managers) and other community partner contacts on care coordination activities for CVHHH patients that are attributed to the related OCV patient panel.
  • Ensure effective communication between CVHHH and members of the external health care team to support care coordination activities and goal attainment.
  • Document care coordination activities that are pertinent to the CVHHH patient plan of care in the CVHHH electronic medical record.
  • Work closely with the clinical care teams to assist with care coordination for patients.
  • Participate in CVHHH clinical team huddle calls and case conferences, as necessary.
  • Oversee the Longitudinal Care Program and Community Health Workers.
  • Maintaining compliance with reporting for all ACO programs.

Your Benefits

  • 28 days combined paid time off in your first year (with sell back option).
  • Group health, dental, and life insurance, as well as long-term disability.
  • Tuition reimbursement for career advancement and continuing education.
  • Student loan repayment assistance.
  • Qualified Employer for Public Service Student Loan Forgiveness Program.
  • Discounts at local vendors.
  • A hybrid work schedule


Requirements – Complex Care Coordinator

  • Must hold valid licensure as Registered Nurse, Physical Therapist, Occupational Therapist or Speech Therapist.
  • Minimum of 5 years’ experience in case management and care coordination in a clinical or outpatient setting, or a combination of education and experience from which comparable knowledge and skills are acquired.  Community or public health experience preferred.
  • Valid driver’s license
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