Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.
The Family Partner is responsible for addressing behavioral health (BH) and high risk social needs (HRSN) of children, youth and families who are attributed to the ACO population at the Health Center. In this role, the Family Partner serves as a patient and family advocate and plays a key liaison / primary point of contact for ACO patients who are enrolled in CBHI, Family Resource Centers and school and early education settings. The Family Partner also works collaboratively with internal GLFHC stakeholders, including but not limited to care managers, primary care clinicians, and members of the integrated care teams. In this autonomous role, the Family Partner is on site a monthly minimum, but is also available virtually to patient, families and external behavioral and social health service providers associated with patients. The Family Partner provides subject matter expertise to engage patients and families in addressing challenges and remove barriers, including to support and coach parents on navigating through the children's mental health system.

• Collaborates with the integrated care team and external providers to establish and implement the goals of youth treatment plans, guiding family members, including assisting with accessing community resources.
• Facilitates / Coordinate referrals to CBHI, Family Resource Centers, schools, early childhood education programs, and serves as the primary point of contact and relational manager.
• Engage in community outreach activities as assigned.
• Participates in regular CBHI, FRC, Education / early intervention staff, leadership and cohort meetings.
• Completes other tasks and duties as required.
• Maintains a roster of patients enrolled into a CBHI program.
• Coordinate and / or assists clients with accessing services to address their needs (e.g., transportation, access to temporary housing, food, clothes, and other basic necessities).
• Interact with the multidisciplinary team on behalf of the patient and family to address and remove barriers.
• Meets regularly with the assigned clinical provider, Nurse Care Coordinator, other Medical Case Managers, and any other member of the team.
• Provides constant feedback and communicates regularly with community provider's client's current social situation.
• Participates in care team meetings and case conferences with external stakeholders.

• Bilingual/bicultural (English/Spanish) required
• High school diploma or GED required
• Associates or Bachelor's degree in social services or human service field preferred
• CHW Certification helpful
• Commitment to serving the underserved and vulnerable populations of the local community, and to helping individuals, families navigate complex health care systems
• Valid Massachusetts Driver's license and access to reliable transportation
• Ability to comply with HIPAA laws and accreditation requirements