Care Facilitator - Pedi Somerville/Watertown

Watertown, MA

Job Description

Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.


SUMMARY

Under general supervision, the Care Facilitator is a member of the primary care team and a vital component of clinical care. The Care Facilitator serves as a liaison to families by partnering with the primary care team to achieve optimal health outcomes for vulnerable populations by coordinating an accessible plan of care, and tracks adherence. The Care Facilitator serves as a hub, processing referrals based on patient and family needs in concert with the clinical team to address social determinants of health (SDOH), and to coordinate care for medically complex patients. The Care Facilitator receives direction from and coordinates with Clinicians, professional case management, and social work teams in the organization to refer patients and their family to specialty care, social service State agencies, and community services. The Care Facilitator provides direct patient support to families needing assistance navigating complex medical, behavioral health, and social service systems of care via in person office visit, virtual visit, or telephonic support. The Care Facilitator populates basic non-clinical information in the administrative areas of the patient's Electronic Medical Record ensuring insurance coverage and members of the care team are accurate. Does not provide essential clinical services or medical advice.

EDUCATION/LICENSES/CERTIFICATIONS

High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

College degree within the discipline of Human Services is strongly preferred.

EXPERIENCE

Requires knowledge of health care and social service delivery systems typically acquired through three years of experience in a primary care, community based behavioral health, youth enrichment or child development setting.

Bachelors' degree in the field of Human Services, can at times be substituted for work experience.

Associates degree in the field of Human Services may substitute 1 year of relevant work experience.

SKILLS

Aptitude for critical thinking with the ability to engage patients in problem solving to promote self-efficacy. Willingness to be flexible in the development of new methods of healthcare service delivery. Sound judgment with the ability to be self-motivated and make decisions in a fast-paced team-oriented environment. Ability to demonstrate a high level of cultural competence and sensitivity to patient needs and concerns. Capacity to establish and maintain clear professional boundaries with patients and colleagues by operating within the scope of Care Facilitation. Strong interpersonal and communication skills needed with the ability to interact effectively with patients, medical professionals, and community partners. Excellent organizational and time management skills. Computer skills that include proficiency with electronic medical records (EMR), and Word is preferred. Leadership potential.


Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status, sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

BENEFITS INCLUDE:

* Up to 8% company retirement contribution,

* Generous Paid Time Off

* 10 paid holidays,

* Paid professional development,

* Generous health and welfare benefit package.

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

VEVRAA Federal Contractor

Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state

PDN-9fad137b-c145-447f-bcae-1bbdf40c668e

Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.


SUMMARY

Under general supervision, the Care Facilitator is a member of the primary care team and a vital component of clinical care. The Care Facilitator serves as a liaison to families by partnering with the primary care team to achieve optimal health outcomes for vulnerable populations by coordinating an accessible plan of care, and tracks adherence. The Care Facilitator serves as a hub, processing referrals based on patient and family needs in concert with the clinical team to address social determinants of health (SDOH), and to coordinate care for medically complex patients. The Care Facilitator receives direction from and coordinates with Clinicians, professional case management, and social work teams in the organization to refer patients and their family to specialty care, social service State agencies, and community services. The Care Facilitator provides direct patient support to families needing assistance navigating complex medical, behavioral health, and social service systems of care via in person office visit, virtual visit, or telephonic support. The Care Facilitator populates basic non-clinical information in the administrative areas of the patient's Electronic Medical Record ensuring insurance coverage and members of the care team are accurate. Does not provide essential clinical services or medical advice.

EDUCATION/LICENSES/CERTIFICATIONS

High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

College degree within the discipline of Human Services is strongly preferred.

EXPERIENCE

Requires knowledge of health care and social service delivery systems typically acquired through three years of experience in a primary care, community based behavioral health, youth enrichment or child development setting.

Bachelors' degree in the field of Human Services, can at times be substituted for work experience.

Associates degree in the field of Human Services may substitute 1 year of relevant work experience.

SKILLS

Aptitude for critical thinking with the ability to engage patients in problem solving to promote self-efficacy. Willingness to be flexible in the development of new methods of healthcare service delivery. Sound judgment with the ability to be self-motivated and make decisions in a fast-paced team-oriented environment. Ability to demonstrate a high level of cultural competence and sensitivity to patient needs and concerns. Capacity to establish and maintain clear professional boundaries with patients and colleagues by operating within the scope of Care Facilitation. Strong interpersonal and communication skills needed with the ability to interact effectively with patients, medical professionals, and community partners. Excellent organizational and time management skills. Computer skills that include proficiency with electronic medical records (EMR), and Word is preferred. Leadership potential.


Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status, sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

BENEFITS INCLUDE:

* Up to 8% company retirement contribution,

* Generous Paid Time Off

* 10 paid holidays,

* Paid professional development,

* Generous health and welfare benefit package.

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

VEVRAA Federal Contractor

Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state

PDN-9fad137b-c145-447f-bcae-1bbdf40c668e

About Atrius Health

Atrius Health, formed in 2004, is a not-for-profit, 501 tax-exempt organization, and is the largest independent physician-led healthcare organization in the Northeast. Atrius Health delivers a system of connected care for more than 740,000 adult and pediatric patients in eastern and central Massachusetts.

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Atrius Health
Care Facilitator - Pedi Somerville/Watertown
Atrius Health
Watertown, MA
Aug 20, 2025
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