Community Health Specialist

Job Profile Summary

​This role focuses on providing medical and clinical support services to patients. In addition, this role focuses on performing the following Community Health duties: Delivers training, facilitates sessions, and educates the community on a variety of clinical topics. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area.

We are hiring for individual roles in the following covered regions:

• North - Southern NH, Middlesex, Essex counties
• Central - Suffolk & Norfolk counties
• South - Plymouth & Barnstable counties

Job Overview

This position delivers culturally-competent services to help patients navigate and access community services, other resources and adopt health behaviors. Assists with care coordination tasks such as setting up appointments and/or transportation; providing basic patient education; assistance with navigating medical and behavioral health systems; and facilitating communications with providers and other care team members. Helps patients’ self-management by identifying their non-medical needs, assisting with care plan development, and working towards patient-centered goals.

Job Description

Minimum Qualifications:

1. High school diploma or equivalent.

2. One (1) year of experience in healthcare setting such as a hospital, health center, home health provider, or community-based agency.

3. Valid, state-issued driver’s license and reliable transportation.

Preferred Qualifications:

1. Bachelor’s degree in Health Sciences, Healthcare, Customer Service, or Administration.

2. Three (3) years of experience in healthcare setting such as a hospital, health center, home health provider, or community-based agency.

3. Customer Service experience.

4. Bilingual.

5. Experienced working in a multi-cultural, multi-lingual setting.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Supports the care team by communicating with patients to follow up after appointments, to confirm materials were received, to help coordinate non-medical services, and to obtain needed medical supplies and devices.

2. Coordinates referrals to community partners, services and resources, researches resources, maintains resource databases, and establishes and maintains relationships with local/community institutions.

3. Acts as a patient advocate and liaison among internal and external providers, and community resources to integrate complex services and identify gaps and challenges in care and communication.

4. Conducts telephonic and face to face patient outreach to activate patients to become involved in managing their health, and collaborating with the healthcare team to develop patient-centered care plans and patient goals.

5. Identifies the need for services based on barriers (e.g. language, literacy, and cultural preferences).

6. Provides patient-centered health promotion, coaching on self-management and education.

7. Maintains collaborative, team relationships with peers and colleagues in order to effectively. contribute to the working group’s achievement of goals, and tactics to meet the overall organizational goals.

8. Community outreach, such as home visits and health screenings will also be required.

Physical Requirements:

1. Occasionally lift and/or move up to 25 lbs.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operating office equipment.

3. Frequently required to speak, hear, communicate and exchange information.

4. Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.

Skills & Abilities:

1. Lives in and/or has familiarity with the target community and feels connected to that community.

2. Ability to work well with people of various ages, backgrounds, ethnicities, cultures and life experiences.

3. Excellent interpersonal and communication skills telephonically, as well as face to face.

4. Strong customer services skills.

5. Detail oriented, with strong organizational skills and multi-tasking abilities.

6. Ability to work independently with minimal supervision and as part of a team.

7. Knowledge of medical terminology.

8. Very strong working knowledge and proficiency with technology and business software (Microsoft Office).