Major Responsibilities:
- Provides direct services to clients, such as health education and prevention programs.
- Collects andmaintainsclient records, ensuring confidentiality.
- Acts as a liaison between clients and healthcare providers.
- Conduct follow-ups with clients to ensure their needs arebeing met.
- Conducts effective home visits and/or community events.
- Educates community members on self-management of health conditions and supports patients in developing healthier habits and proper use of the emergency room and providing information for alternatives.
- Assistcommunity members in understanding care plans and instructions.
- Facilitates access to community resources, including but not limited to locating housing, food, clothing, prenatal classes, parenting, and providers to teach life skills, and relevant mental health services.
- Performs other duties as assigned.
Licensure, Registration, and/or Certification Required:
- Completion of any required certifications or continuing education in community health within the first year of employment.
Education Required:
- High School Diploma or GEDrequired
Experience Required:
Knowledge, Skills & Abilities Required:
- In-depth knowledge of community resources and health services.
- Ability to assess client needs and provideappropriate interventions.
- Experience working with diverse populations.
- Ability to engage medical providers, primary care teams, community-based organizations, referralnavigatorsand social services agencies. Adaptability based on changing needs of the organization.
- Possesses knowledge of the community and population for related programs. Ability to work effectively with a wide range of constituencies in a diverse community and work asa strong teammember.
- Must have strong interpersonal skills andgood communicationand literacy skills (in person, telephonically and written) anddemonstratethe ability to develop rapport as an active member of the care management team.
- Validdriver’s licenserequired, excellent driving recordand havereliable transportation.
- Time will be spent tracking and contacting community members and community referral agencies, meeting face-to-face with clients in their home environment, hospital, clinic, school, etc. Frequent changes are expected daily; therefore, flexibility and adaptability are essential. Evening and weekend work may periodically berequired.
- Self-directed with excellent time management anddetailorientation.
- Adaptability based on changing needs of the organization.
- Knowledgeableofsocial drivers of health, community health, and health literacy principles.
- Ability to navigate Epic or another Electronic Medical Record (EMR).
- Ability to navigate social care networks and platforms.
Physical Requirements and Working Conditions:
- This position requires travel, therefore, will be exposed to weather and road conditions.
- Operates all equipment necessary to perform the job.
- Work in a variety of environments; an office environment, a community member’s home environment and/or hospital/school/community agency or settings.
- Exposure to a medical setting and household conditions as well as communicable diseases could occur.
- There is occasional lifting of 10 – 20 pounds necessary to complete a task.
PreferredJobRequirements:
Education:
- Bachelor’s degree preferred
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.