Responsible for managing, coordinating and integrating all Care Coordination services in a Patient-Centered-Medical-Home environment within CSV Medical Group Clinics. Provides Care Coordination services to patients based on person-centered acuity and leads and coordinates patient care coordination interdisciplinary team in a clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous services. Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Works side-by-side with clinic Medical Director in development of protocols and clinical-related processes. May work in traditional clinic setting and/or in a training environment (residency program