Community Health Advocate

• Manage a caseload of patients and achieve established benchmarks for patient care
• Meet patients in their homes, at the hospitals or primary care clinic and conduct open-ended needs assessment to understand broadly what patients’ goals are for their health
• Use motivational interviewing to help patients create person-centered action plans for reaching their health goals
• Provide a wide variety of support (including emotional support, referral to community based resources, social services, clinical services, etc.) based on CHW discretion and available resources
• Make weekly contact (follow‐up calls and/or home visits) to patients
• Coordinate and communicate with clinical care teams to provide relevant information about patient’s goals, clinical emergencies, and patients concerns, and to obtain medical information needed to inform CHW work
• Co-facilitate a weekly support group for patients, where applicable
• Work with other CHWs and staff to create a directory of community resources (e.g. food banks, housing assistance programs, childcare resources, etc.)
• Other duties, as assigned

• High School Diploma required
• Long-time resident of assigned location and good knowledge of the resources of these communities
• Comfortable with home visits and outreach
• Prior experience as an outreach worker a plus
• Ability to exercise good judgment with patients, clinical care teams, others involved in the delivery of interventions
• Ability to effectively manage time and tasks, prioritize, and stay organized
• Excellent oral and written communication skills
• Exceptional active listening skills
• Proficient in MS Word and computer data entry
• US work authorization

Prior experience as an outreach worker

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access