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About the Role

Pair Team is expanding its partnership with a health plan to improve patient engagement and access to care in Alameda County. The Field Care Coordinator will bring care directly to patients at home and in the community, focusing on hands-on support, outreach, onboarding, and barrier removal. This role involves supporting patients with various needs, including care plan follow-up, health checks, and resource connection.

Responsibilities

Manage a high-volume, field-based caseload and complete approximately 30 in-person patient visits per week (up to 120 visits per month).
Independently manage a busy daily schedule while traveling throughout Alameda County to meet patients where they are.
Support recurring community-based events and provide care coordination for patients with complex needs.
Serve as the primary point of contact for members with complex medical, behavioral, and social needs.
Meet members in person at their homes, in the community, or at partner organizations to complete new patient onboardings, deliver care packages, or collect health readings such as blood pressure.
Conduct in-person visits to assess member needs, provide ongoing support, and encourage adherence to care plans.
Coordinate services, appointments, and referrals across primary care, behavioral health, and social support resources.
Support care continuity by collaborating with internal care team members including Nurses and Behavioral Health Care Managers.
Identify and address barriers to care such as transportation, medication access, or health literacy challenges.
Develop and maintain individualized care plans and ensure follow-up on all interventions and goals.
Maintain accurate and timely documentation of all member interactions and care coordination activities.
Advocate for member needs within the healthcare and social support systems.
Participate in collaborative care meetings with other members of the care team to review patient panels, discuss progress, and align on care plans.

Requirements

Bilingual – English/Spanish
1+ years of field based (in person) case management or care coordination
Physical location in or near Alameda County with familiarity of the local community and resources
Reliable transportation for regular field visits, including patient homes, clinics, community-based organizations, and partner sites
Valid driver’s license and current auto liability insurance
Strong understanding of cultural fluency and the ability to build trust with diverse populations
High degree of empathy and ability to remain patient when faced with adversity
Demonstrated ability to work collaboratively in a multidisciplinary care team
Excellent organizational skills and attention to detail
Strong technical skills and comfort learning new systems; experience with tools such as Google Suite, Slack, CRM databases, and basic Excel, Word, email, and video conferencing
Reliable, HIPAA-compliant workspace with a stable internet connection for documentation and team communication

Skills

Google Suite
Slack
CRM databases
Excel
Word
Email
Video conferencing

Location

Alameda County

Work Type

Field-based
In the community 5 days per week

Experience Level

1+ years of field based (in person) case management or care coordination

Salary/Compensations

$32/hr

Benefits

Comprehensive health, vision & dental insurance
401k
Monthly $100 work from home expense stipend for your WFH days
Gas reimbursements for your on-site engagement days
Flexible vacation policy
All equipment needed for the role provided
Opportunity for rapid career progression with plenty of room for personal growth

About the Company

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves underserved populations.
As a tech-enabled medical group, Pair Team delivers whole-person care - clinical, behavioral, and social - by partnering with community-connected organizations.
The company leverages AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.
Pair Team's work is powered by a collaborative team of healthcare professionals and operations staff focused on closing care gaps and improving outcomes for high-need patients.
Pair Team is one of the largest Enhanced Care Management providers in California and is building the nation’s largest clinically integrated network supporting high-need patients.
The model has demonstrated significant impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.
Pair Team is building the future of more equitable, community-driven healthcare.
Values: Lead with integrity, Embrace challenges, Break through walls, Act beyond yourself, Care comes first.
In the News: Forbes, TechCrunch, Axios.

Equal Opportunity

Pair Team is an Equal Opportunity Employer.
All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
Pair Team participates in E-Verify to verify employment eligibility for new hires.