Care Coordinator/Social Worker

ABOUT THE ROLE

Bridging Care is hiring Care Coordinators to help vulnerable Medicaid members access the healthcare and community services they need. This is a field-based, relationship-driven role - you will go where your members are, build real relationships, and be the consistent presence that connects them to care.

You will work with medically complex individuals who may face significant barriers - chronic conditions, behavioral health challenges, housing instability, and more. A typical week includes in-home visits, Health Action Plan development, cross-provider coordination, and documentation in our care management systems. Approximately 75% of your time is spent in the field within your assigned county.

This is a coordination role, not a clinical procedures role. You do not administer medications or perform clinical interventions. What you do is show up, navigate systems, and build the trust that helps people get better.

WHAT YOU WILL DO

• Conduct in-home and community-based visits with assigned Medicaid members (up to 75% field travel).
• Develop individualized Health Action Plans (HAPs) addressing chronic conditions, goals, and real-world barriers.
• Coordinate care across primary care, behavioral health, housing, and social service providers.
• Help members set health goals and build care plans to meet them.
• Support members in engaging with mental health and substance use treatment in the community.
• Conduct comprehensive health screenings covering physical health, behavioral health, and social service needs.
• Facilitate transitions of care after hospitalizations or emergency department visits.
• Complete all documentation and billing in OneHAP and Bridging Care systems within 48 hours of each visit.
• Perform opt-ins for new members and referrals.
• Build and maintain relationships with community organizations, providers, and support networks in your county.

THREE WAYS TO QUALIFY

Washington State's Health Homes program defines three qualification pathways. You need to meet ONE. No clinical nursing license required.

Pathway 1 - Degree Track

• Bachelor's or Master's degree in Social Work, Psychology, Human Services, Behavioral Sciences, or a closely related field; OR
• Associate's degree in a related field plus 2 years of direct community or social service experience.

Pathway 2 - Certification Track

• Chemical Dependency Professional (CDP); OR
• Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) with an Associate's degree; OR
• Indian Health Service (IHS) Certified Community Health Representative (CHR).

Pathway 3 - Experience Waiver

• 2 years of direct experience in any of the following:

◦ Community health outreach or care navigation

◦ Housing or social services casework

◦ Peer support or recovery coaching

◦ Medicaid or Medicare patient engagement

◦ Bilingual community health advocacy

◦ Home care or direct support work with high-needs populations

WE ESPECIALLY WANT TO HEAR FROM

• Community Health Workers (CHWs) - especially those with WA DOH Core Competency certification.
• Certified Medical Assistants and Registered Medical Assistants ready to move into a higher-paying field role.
• Certified Peer Support Specialists (CPSS) - your lived experience is not entry-level; it is an asset.
• Housing navigators and case aide workers with home visit and resource navigation experience.
• Bilingual and bicultural advocates - Spanish, Somali, Vietnamese, Amharic, and other language communities are heavily represented in our member population.
• Recovery coaches and substance use outreach workers.
• Social work, psychology, and human services graduates with 2 years of direct service.

PREFERRED QUALIFICATIONS

• 2 year of care coordination experience.
• WA DOH Community Health Worker Core Competency certification.
• Certified Peer Support Specialist (CPSS) credential.
• Bilingual fluency in Spanish, Somali, Vietnamese, Amharic, or another language spoken by our members.
• Prior experience in a WA Health Home, FQHC, managed care organization, or community health setting.
• Experience with OneHAP or other HCA Health Home documentation platforms.
• Licensed clinical credentials (LMHC, LMFT, RN, ARNP, PA, LISW) are a plus but not required.

REQUIREMENTS

• Washington State residency (field role with in-home visits in your assigned county).
• Valid Washington State driver's license in good standing.
• Personal vehicle with active Washington State minimum auto insurance coverage.
• Reliable home internet for remote documentation days.
• Comfort with technology and multiple documentation platforms.
• Ability to meet daily and weekly documentation and billing benchmarks.
• Successful completion of a pre-employment background check.

COMPENSATION AND BENEFITS

Pay

• $28.50 per hour starting pay.
• $30.00 per hour after 12 months of satisfactory employment.
• Non-exempt / hourly; overtime eligible.

Benefits

• Medical, dental, and vision insurance - 100% company-paid for the employee.
• Company-paid life and AD&D insurance ($15,000 policy).
• 11 paid holidays, 2 weeks paid vacation, 6.5 sick days, and 2 personal days annually.
• Employee referral bonus program.
• Employee discounts (entertainment, travel, and more).
• Structured onboarding with mentorship and daily supervisor support.