Jobs and Careers
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Complex Care Coordinator (BMC Clinic & Southampton Shelter)
Boston Health Care for the Homeless ProgramUnited Statesfull_timeVerifiedPosted 19 May 2026
💰 $70,000/yr($44,000/yr – $70,000/yr)
About the role
Who we are:
Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.
From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.
Job Summary:
Hours: In Person, 40 hours, Monday-Friday, including up to 2 evenings per week
Union: Yes
Union Name: 1199SEIU
Patient Facing: Yes
By offering complex care management (CCM) services at BHCHP, our teams are able to extend supports to the outreach setting for a medically complex, mostly homeless group of patients who are not well engaged with primary care or behavioral health services. This role is designed to be better integrated with multi-disciplinary teams in BHCHP’s outpatient clinics and medical respite program to facilitate communication and collaboration on some of BHCHP’s most vulnerable patients. Complex care management requires compassionate, dignified, and culturally appropriate interactions with patients that have long been disenfranchised, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.
This Complex Care Coordinator will provide care coordination support for high-risk primary care patients at Boston Health Care for the Homeless Program. The Complex Care Coordinator will work closely with primary care teams and clinic-based case managers. This role involves flexibility to provide patient care coordination in an assigned set of clinics (at BMC Clinic and Southampton Shelter) as well as through mobile outreach to other settings where the patient frequents, resides, or otherwise receives care. The Complex Care Coordinator will work with their supervisor to determine individualized outreach based on patient needs.
The Complex Care Coordinator will take responsibility for coordinating ongoing care for a panel of 25 to 50 high-risk patients. They will also provide case management services to walk-in patients for up to 50% of their time, depending on site needs.
Responsibilities:
General
Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.
From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.
Job Summary:
Hours: In Person, 40 hours, Monday-Friday, including up to 2 evenings per week
Union: Yes
Union Name: 1199SEIU
Patient Facing: Yes
By offering complex care management (CCM) services at BHCHP, our teams are able to extend supports to the outreach setting for a medically complex, mostly homeless group of patients who are not well engaged with primary care or behavioral health services. This role is designed to be better integrated with multi-disciplinary teams in BHCHP’s outpatient clinics and medical respite program to facilitate communication and collaboration on some of BHCHP’s most vulnerable patients. Complex care management requires compassionate, dignified, and culturally appropriate interactions with patients that have long been disenfranchised, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.
This Complex Care Coordinator will provide care coordination support for high-risk primary care patients at Boston Health Care for the Homeless Program. The Complex Care Coordinator will work closely with primary care teams and clinic-based case managers. This role involves flexibility to provide patient care coordination in an assigned set of clinics (at BMC Clinic and Southampton Shelter) as well as through mobile outreach to other settings where the patient frequents, resides, or otherwise receives care. The Complex Care Coordinator will work with their supervisor to determine individualized outreach based on patient needs.
The Complex Care Coordinator will take responsibility for coordinating ongoing care for a panel of 25 to 50 high-risk patients. They will also provide case management services to walk-in patients for up to 50% of their time, depending on site needs.
Responsibilities:
General
- Work in assigned clinics (BMC Clinic and Southampton Shelter Clinic) with a multidisciplinary team of providers, nurses, behavioral health clinicians, and case managers.
- This position will include a combination of scheduled clinic sessions to see walk-in patients and outreach sessions as needed, with prior supervisor approval, to engage referred patients in the place where they frequent, receive care, and/or reside, and to accompany patients to appointments, court, etc.
- Document patient encounters, as well as all outreach attempts, in the electronic health record.
- Collaboratively develop, and document progress towards, patient-identified goals and a plan of care for each patient.
- Coordinate services and assist patients with obtaining benefits, housing, housing tenancy supports, transportation, and other services that address their health-related social needs.
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