Job description

NATURE OF WORK: The Community Social Risk Outreach staff will be a non-clinical community member who will assist high-risk patients with non-clinical care coordination in their home and community. They are full time employees of the health center and members of the care coordination team. They interact with patients through weekly home visits and facilitate communication between the patient and their medical provider with the focus being on prediabetic patients. The Community Social Risk Outreach staff will work under the direct supervision of a designated health care provider for day-to-day scheduling and will play a vital role in the patient’s care coordination team.

PRIMARY RESPONSIBILITIES:

• Help people apply disease self-management plans in the context of their home and community.
• Provide social and emotional support.
• Link individuals with clinical, community, and other resources and serve as a liaison between patients and the clinical care coordination team.
• Provide ongoing, flexible, accessible support for patients as their needs change.
• Assists patients in their homes, community, or clinical setting. Communicates to patients the purpose of the program and impact it may have on their wellbeing
• Helps patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
• Motivate patients to be active, engaged participants in their health.
• Effectively work with people (staff, patients, doctors, agencies, etc.) from diverse backgrounds in reducing cultural and socio-economic barriers between patients and institutions.
• Build and maintain positive working relationships with the clients, providers, care managers, agency representatives, supervisors, and office staff.
• Continuously expand knowledge and understanding of community resources, services and programs provided; human relations and the procedures used in dealing with the public as part of a service or program; volunteer resources and the practices associated with using volunteers, operations, functions, policies, and procedures associated with the department or program area, procedures, and resources available to handle new, unusual, or different situations.
• Other duties assigned.

QUALIFICATIONS:

• Trusted members of the community being served.
• Interpersonal communication skills
• Ability to express empathy.
• Counseling/health promotion skills
• Ability to read and write.
• Knowledge of community resources
• Understanding of professional conduct
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, follow, and understand written or oral instructions.
• Ability to maintain effective working relationships with patients, fellow employees, and the public.
• Must be well organized and detail orientented.

WORK ENVIRONMENT:

In-Doors 80% of the time; outdoors 20% of the time

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Work Location: In person

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