SOME (So Others Might Eat) provides material aid and comfort to our vulnerable neighbors in the District of Columbia, helping them to break the cycle of poverty and homelessness through programs and services that save lives, improve lives, and help to transform the lives of individuals and families, their communities, and the systems and structures that affect them. We meet immediate needs with food, clothing, and healthcare, and offer the tools one needs to live with hope, dignity, and greater independence.

Compensation: We offer our employees a competitive compensation and benefits package that reflects our organizational culture, mission, and core values. The hourly range for this position is $23.00 per hour and may be commensurate with experience.

SOME (So Others Might Eat) is currently seeking a Cardiac Care Coordinator to join our medical team at O Street in NW Washington, DC.

The Cardiac Care Coordinator is a grant-funded position guaranteed through October 31, 2026 (calendar year), supporting the delivery of comprehensive cardiovascular services within a Federally Qualified Health Center serving adults experiencing poverty, housing instability, and other social determinants of health. Working directly alongside the cardiac provider, this role focuses on care coordination, patient engagement, education, follow-up, and system navigation to support improved cardiovascular outcomes.

Continuation beyond October 31, 2026, is contingent upon future funding and organizational needs.

The ideal candidate has prior healthcare or human services experience working with marginalized or underserved populations and brings a strong patient-centered, trauma-informed approach to care.

Required Qualifications

• High school diploma or GED required, associate’s degree or coursework in health, human services, or related field preferred
• Prior healthcare or human services experience required
• Experience working with marginalized, underserved, or vulnerable populations strongly preferred
• Strong organizational, communication, and interpersonal skills
• Ability to work effectively in a fast-paced, integrated clinical setting
• Comfort working with electronic health records and basic data tracking tools

Schedule: 32 hours per week; schedule will align with clinic operations

Primary Duties and Responsibilities

Clinical & Care Coordination Support

• Work closely with the cardiac provider to coordinate day-to-day cardiac clinic operations and patient care workflows

• Assist with scheduling, confirming, and preparing patients for cardiac clinic appointments, diagnostic testing, and follow-up visits

• Coordinate referrals to internal specialty services (e.g., primary care, behavioral health, nutrition, pharmacy) and external providers as needed

• Support continuity of care by tracking patient follow-ups, missed appointments, and care plan adherence

Patient Engagement & Education

• Provide patient education related to cardiovascular health, blood pressure management, medication adherence, lifestyle modification, and follow-up care (under direction of clinical staff)

• Engage patients using culturally responsive, trauma-informed, and health-literacy-appropriate approaches

• Support patients in navigating barriers to care such as transportation, housing instability, insurance challenges, and access to medications

Care Navigation & Support Services

• Serve as a liaison between patients, providers, and support services to ensure timely communication and care coordination

• Assist patients with understanding care instructions, appointment schedules, and next steps in their treatment plans

• Collaborate with case management, housing, and social service teams to address social determinants impacting cardiac health

Administrative & Documentation Responsibilities

• Accurately document patient interactions, care coordination activities, and outreach efforts in the electronic health record (EHR)

• Track grant-related data points, outcomes, and activities as required by the AstraZeneca grant

• Assist with reporting, audits, and data collection to support grant monitoring and sustainability efforts

Program & Team Collaboration

• Participate in interdisciplinary team meetings related to cardiac services and primary and/or specialty care health initiatives

• Support community outreach, education events, and screening initiatives related to cardiovascular health

• Contribute to the development and refinement of workflows that promote efficiency, quality, and patient engagement

Reports to: SVP, Federally Qualified Health Centers

Closing Date: Open Until Filled

Position Designation: This position is designated as Safety Sensitive. You may be subject to drug testing before or during your employment with SOME. In this position, you may be disqualified from employment based on the presence of marijuana in test results, even if you possess a medical card authorizing the use of medical marijuana.

Physical Demands: Must be able to lift up to 20 pounds. May be required to sit or stand for long periods. Must be able to move around all levels/floors of the building.

To Apply: Go to our career page at https://www.some.org/careers/open-opportunities and click on the search icon to locate this position. Follow the instructions to complete your online application profile to be considered.

SOME, Inc. is a proactive equal-opportunity employer. We ensure that all qualified applicants are considered for employment without discrimination based on race, color, religion, sex, national origin, disability, or protected veteran status.

SOME, Inc. is deeply committed to ensuring the job application process is accessible to all users. If you require assistance or have any concerns about the accessibility of our website or the application process, please feel free to contact us at onlineaccommodations@some.org. This contact information is specifically for accommodation requests and does not pertain to application status inquiries.

To read our EEO Policy Statement, please click here. To view our notices to employees and applicants for employment, click on their corresponding links: EEOC Know Your Rights Notice and E-Verify Program Notice.