Community Health Resource Coordinator

Union Community Care; Lancaster (Lancaster County); On-site; USD 42,000 - 64,000; Full time

Job summary

Union Community Care seeks a Community Health Resource Coordinator to assist patients with social and behavioral goals. The role coordinates with medical and behavioral teams to manage referrals and care plans, addressing housing, insurance, mental health, and other supports.

Responsibilities include enrolling patients in health insurance, providing outreach, documenting in the EHR, and advocating for services. Strong communication and cultural humility are essential.

Qualifications

• Bachelor's degree preferred or equivalent experience in social work or human services.
• 3+ years of relevant experience in social services or care coordination.
• Certified Application Counselor or Navigator required.

Responsibilities

• Coordinate social assistance referrals with medical, dental, and behavioral health teams.
• Develop care plans based on trust, cultural humility, and social determinants of health.
• Enroll and assist patients with health insurance and public benefits.
• Provide services in the patient's language and advocate with community providers.

Skills

Effective communication

Team collaboration

Program coordination

English proficiency

Documentation in writing

Education

Bachelor's degree preferred

HS diploma

Certified Application Counselor or Navigator

Tools

Electronic Health Record (EHR)

Job description

Our Mission, Vision, & Model of CareAt Union Community Care, our purpose is at the forefront of all that we do: we stand for whole health to help you live your fullest life.We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member’s unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others.We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity.We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center.JOB SUMMARYThe Community Health Resource Coordinator role uses social work or human service expertise to assist patients in meeting social and behavioral self-identified goals.The Community Health Resource Coordinator is responsible for closely coordinating with medical, dental and behavioral health to serve as a social services case manager for vulnerable patients with multiple needs (i.e. addiction disorder, homelessness, new immigrants, mental health needs).SPECIFIC JOB DUTIES1. Serve as an active member of Union Community Care medical and dental teams to coordinate social assistance/social services referrals and close the loop with care teams to ensure integrated care with the patient at the center.2. Collaborate with individuals and families to create and supplement care plans that are based on trust, healing relationships, cultural humility, and an understanding of the impact of social determinants of health.3. Support and promote social assistance for existing and new patients. Social assistance includes but is not limited to:Health insurance for adults and childrenMedical ServicesHousing assistanceMental health referralsWIC and food supplementationJob placementLegal servicesDomestic violence assistanceTranslation and interpretation of documentsApplication support for affordable housing and utility assistanceApplication support for other public benefits including SSI, disability, etc.Services for seniors and vulnerable adults4. Enroll adults, children and families in health insurance - both public and private.5. Conduct outreach and enrollment activities to promote health insurance for children, adults, and families.6. Provide services in the language that is most comfortable for the patient/consumer.7. Serve as an advocate between the patient and other community providers who offer services.8. Learn and share best practices for providing services, resources, and coverage for patients/consumers. Share this information with other Community Health Resource Coordinators and organization wide.9. Represent Union Community Care in public venues.10. Serve as social assistance case manager meeting with families on a frequent basis to help eliminate barriers and strategize next steps for achieving their goals.11. Document referrals, social services and patient communication in the Electronic Health Record.12. Process referrals and documents on behalf of patients to ensure they receive the care and services required in a timely manner.13. Identify and develop relationships with local for-and non-profit organizations that can potentially make referrals to Union Community Care.14. Performs other work-related duties as assigned.POSITION REQUIREMENTSEducation Required: Bachelor's degree preferred, HS diploma.3 or more years of relevant experience.Certified Application Counselor or Navigator, requiredSkills Needed: must demonstrate an ability to communicate effectively in person and in writing and workcollaboratively with community organization representatives, health center staff, and Clinicians.Ability to effectively document and schedule in the Electronic Health Record.Must be able to accept tasks and assignments directly from Clinicians and execute with a high degree of reliability and quality.Ability to work occasional evenings or weekends, as requiredAbility to engage effectively at outreach events in the community.English proficiency requiredESSENTIAL FUNCTIONSIn order to fulfill the requirements of this position, duties 1-14 are considered essential functions of the job.ORGANIZATIONAL INVOLVEMENTThis position is required to participate in mandatory all staff meetings, team meetings and trainings.