Patient Care Coordinator - LMHS Primary Care Clinic

Job Overview

Lyon-Martin Health Services and Women's Community Clinic provides primary medical care, sexual and reproductive health care, and mental health services for women, gender non-conforming people, and transgender people of all gender identities and sexual orientations. 

The Patient Care Coordinator is responsible for patient care, including connecting patients to specialized care by referral initiation and follow-up, providing information on community resources, and promoting access to care by assisting clients with navigating the larger health system. They may assist clients presenting with complex psycho-social barriers to care by collaborating with the medical and mental health providers to develop and implement care plans, ensure patient follow-through to specialty care appointments, and connect patients to external resources.

Key Responsibilities

  • Assists with referrals to specialty clinics, including providing all pertinent information to outside providers, scheduling the appointments as needed, and notifying patients.
  • Assists with connections to external services.
  • Participate in case conference meetings with the interdisciplinary team to develop and implement a care plan to address patients’ identified goals.
  • Coordinate care with collateral supports to improve stability with psychosocial, mental health and/or medical concerns. This includes patient's case managers, therapists, hospital discharge planners, housing staff, etc.
  • Assists with obtaining Durable Medical Equipment (DME) for patients.
  • Serves as the point of contact for patients and providers with questions regarding referrals.
  • Tracks the status of referrals, keeping appropriate Electronic Health Record tracking systems up to date, notifying patients and obtaining results and reports when needed and triaging to providers.
  • Follows up on the completion of missed specialty care appointments as directed by the referring provider through the utilization of motivational interviewing to encourage adherence to plan of care.
  • Assists in meeting benchmarks for applicable quality indicators as noted in the annual quality management plan, as well as contract and grant deliverables. 

Education and Knowledge, Skills and Abilities


  • At least one year of experience working in a health care environment.  
  • Commitment to the health care needs of women, transgender people and gender non-conforming people.
  • Commitment to working in an environment offering the full range of pregnancy options counseling.


  • Bilingual (English and Spanish). 
  • Knowledge of clinical documentation (treatment plans, progress notes etc.).
  • Anti-racism framework and commitment.  
  • Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency. 
  • Experience working with populations with varying lifestyles, ages, sexual orientations, ethnic and cultural backgrounds and economic status.  
  • Knowledge of resources for underserved people in the Bay Area.
  • Able to work within a frequently changing project scope while maintaining overall direction and structured priorities.
Compensation: $20.00
Type: Hourly/ Non-exempt
Benefits: HealthRIGHT 360 offers a competitive benefits package.
City: San Francisco, CA
Hours/wk: 40

Job Location