Community Health Advocate

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

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