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Director of Care Coordination

Health Care for the HomelessFallsway | Baltimore, Maryland, United StatesOnsite

Are you a clinical leader passionate about improving health outcomes for underserved communities?
Health Care for the Homeless is seeking a strategic, compassionate, and experienced Director of Care Coordination to lead integrated, patient-centered care coordination efforts. In this essential role, you’ll guide a high-performing multidisciplinary team, manage value-based care programs, and deliver direct services that make a meaningful impact.

What You’ll Do:


  • Lead and mentor a multidisciplinary team including RN Care Coordinators and Case Managers
  • Oversee care coordination efforts across risk stratification, transitions of care, outreach, and chronic condition management
  • Manage and drive performance of value-based care programs (including AHEAD, MDPCP, and other payer models)
  • Partner with organizational leaders to integrate care strategies that support quality goals and whole-person care
  • Deliver direct clinical services (30–40% of time) to complex patients needing care management and follow-up
  • Leverage data analytics to monitor care gaps and improve patient outcomes and system efficiency

What You’ll Bring:


  • Active RN or NP license in Maryland (required)
  • Bachelor’s degree in health care or related field (Master’s preferred – MSN, MPH)
  • Minimum 5 years’ experience in care coordination, case management, or population health
  • At least 3 years’ experience managing staff in a multidisciplinary clinical setting
  • Experience with value-based care models (AHEAD, MDPCP, ACOs) and EHR/care management systems
  • Strong critical thinking, leadership, communication, and collaboration skills
  • A commitment to equity, inclusion, and working with vulnerable populations

What We Offer:


  • A chance to work for a mission-based organization making an impact
  • A supportive, inclusive team culture rooted in values of dignity, justice, and balance
  • Opportunities for professional development and continuous learning
  • A competitive benefits package

Join us in advancing health equity and delivering exceptional care to our community’s most underserved populations. Apply today to be a part of something bigger.

Health Care for the Homeless is an equal opportunity employer. 103991.00 To 125000135188.00 (USD) Annually


Life at Health Care for the Homeless

Health Care for the Homeless pieces together over 40 public and private funding sources to provide comprehensive services to homeless people. We depend upon private contributions to cover a substantial portion of our annual budget. With help from our individual supporters, we provided comprehensive services to over 8,500 men, women and children last year. Your contribution goes a long way. Resources obtained through private donations helps meet a range of needs including much needed medication, medical supplies, transportation, clothing, food, and emergency care for people with disabilities.
Thrive Here & What We Value• Emphasis on Harm Reduction and Housing First principles• Strong customer service focus• Positive attitude towards change and willingness to learn new systems and processes• Emphasis on maintaining confidentiality and personal integrity• Tolerance for frequent interruptions and ability to work as part of an interdisciplinary team• Commitment to racial equity and inclusion• Models and Reinforces Core Values of Dignity, Authenticity, Hope, Justice, Passion, and Balance• Actively Participates in Performance Improvement and Advocacy Activities that Support the Mission• Protects Clients' Personal Health Information by Maintaining Compliance with HIPAA and Other Relevant Healthcare-Related IT Security Regulations• Promoting BIPOC for open positions• Encouraging marginalized identities to apply• Performs other duties on an as-needed basis.</s>
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