Community Health Advocate, Experienced - San Diego

Your Role

The Community Health Advocate, Experienced will report to the Sr. Director, Community Programs. In this role, you will conduct field-based outreach with Blue Shield of California Promise Health Plan members through regular home visits, in-person support at medical appointments, and comprehensive assessments of social drivers of health (SDOH). You will identify resource gaps in medical and community services, assess barriers impacting member well-being, and connect members to appropriate health and social services. Success in this role requires demonstrated experience conducting in-home assessments, evaluating social determinants of health, and engaging members in community-based settings.

This position requires frequent local travel throughout San Diego County.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health or Health-allied field preferred, OR equivalent experience in a related field
• Requires at least 3 years of prior relevant experience working with people who need assistance with complex health and social issues
• Requires experience conducting home visits and field-based assessments, including assessing social drivers of health (SDOH), psychosocial needs and barriers to care
• Requires valid CA Driver's License and proof of auto insurance coverage
• Experience working with Medi-Cal populations preferred
• Bilingual Spanish speaking preferred
• Proficient skills with computer programs, including Microsoft Excel, Outlook, Word, and PowerPoint Excellent communication skills both orally and in writing
• Knowledge of health disparities in diverse communities
• Effective time management skills and ability to define and act on priorities amid multiple responsibilities

Your Work

In this role, you will:

• Assess psychosocial and social drivers of health needs for moderate-risk members through in-person engagement, including home visits and medical appointments, and document assessment results or augment available information in appropriate systems
• Conduct routine and as-needed home visits to provide hands-on support, assess living conditions, and identify barriers to care
• Accompany members to medical appointments as needed to provide support, facilitate communication with providers, and help ensure understanding of care plans and follow-up actions
• Establish relationships and partner with community organizations, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools
• Assist members with moderate health conditions problem-solve to address barriers by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services
• Actively engage, build rapport and establish trusting relationships and facilitate collaborative communication with members and member family support systems
• Identify social drivers of health concerns/gaps and develop and document an associated plan to address moderate social and health disparities in accessing appropriate care and services
• Document member updates and progress notes in appropriate systems, submit timely reports, and provide recommendations for improved member outcomes
• File and make necessary follow-up on mandated reporting, e.g. Adult Protective Services, Child Protective Services, etc.
• Perform other duties, as required

Your Work

In this role, you will:

• Assess psychosocial and social drivers of health needs for moderate-risk members through in-person engagement, including home visits and medical appointments, and document assessment results or augment available information in appropriate systems
• Conduct routine and as-needed home visits to provide hands-on support, assess living conditions, and identify barriers to care
• Accompany members to medical appointments as needed to provide support, facilitate communication with providers, and help ensure understanding of care plans and follow-up actions
• Establish relationships and partner with community organizations, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools
• Assist members with moderate health conditions problem-solve to address barriers by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services
• Actively engage, build rapport and establish trusting relationships and facilitate collaborative communication with members and member family support systems
• Identify social drivers of health concerns/gaps and develop and document an associated plan to address moderate social and health disparities in accessing appropriate care and services
• Document member updates and progress notes in appropriate systems, submit timely reports, and provide recommendations for improved member outcomes
• File and make necessary follow-up on mandated reporting, e.g. Adult Protective Services, Child Protective Services, etc.
• Perform other duties, as required