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This position supports the Ambulatory sites and requires travel to at least 2 sites. The current state daily responsibilities of this team member is to work 9AM-5:30PM Monday thru Friday. Able to travel between three sites to support patients and their families with SDOH needs.
Job Responsibility:
Provides direct services to clients, such as health education and prevention programs
Collects and maintains client records, ensuring confidentiality
Acts as a liaison between clients and healthcare providers
Conduct follow-ups with clients to ensure their needs are being 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
Assist community 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
Requirements:
Completion of any required certifications or continuing education in community health within the first year of employment
High School Diploma or GED required
1 – 2 years experience
In-depth knowledge of community resources and health services
Ability to assess client needs and provide appropriate interventions
Experience working with diverse populations
Ability to engage medical providers, primary care teams, community-based organizations, referral navigators and social services agencies
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 as a strong team member
Must have strong interpersonal skills and good communication and literacy skills (in person, telephonically and written)
Valid driver’s license required, excellent driving record and have reliable transportation
Self-directed with excellent time management and detail orientation
Knowledgeable of social 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
Nice to have:
Bachelor’s degree preferred
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs