R-353045

This role requires an understanding of how socioeconomic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications.

This role has a mobile presence, involving travel to patients’ homes, treatment facilities and community-based settings, and assigned clinics to facilitate and foster connections.

Job Functions

• Develop a wholistic view of patient needs related to Social Determinants of Health
• Identify existing barriers to engagement with necessary resources and supports
• Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
• Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
• Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
• Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
• Conduct Transitions of Care for Observation stays
• Refer patient to necessary services and supports
• This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
• Perform all other duties and responsibilities as required
• Ability to travel throughout Broward county on daily basis

Required Qualifications

• High School Diploma or equivalent
• Community Health Worker certification, or willingness to complete within one year
• Minimum of 2 years of experience working in human services and navigating community-based resources
• Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistance

Working Conditions

This role has a mobile presence, involving travel to patients’ homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections.

Workstyle: Combination in clinic and field, local travel to meet with members

Location: Must reside in Broward County

Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.