Community Health Resource Coordinator (63266)

Our Mission, Vision, & Model of Care

At Union Community Care, our purpose is at the forefront of all that we do: we stand for whole health to help you live your fullest life.

We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others.

We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity.

We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center.

JOB SUMMARY

The Community Health Resource Coordinator role uses social work or human service expertise to assist patients in meeting social and behavioral self-identified goals.

The Community Health Resource Coordinator is responsible for closely coordinating with medical, dental and behavioral health to serve as a social services case manager for vulnerable patients with multiple needs (i.e. addiction disorder, homelessness, new immigrants, mental health needs).

SPECIFIC JOB DUTIES

1. Serve as an active member of Union Community Care medical and dental teams to coordinate social assistance/social services referrals and close the loop with care teams to ensure integrated care with the patient at the center.

2. Collaborate with individuals and families to create and supplement care plans that are based on trust, healing relationships, cultural humility, and an understanding of the impact of social determinants of health.

3. Support and promote social assistance for existing and new patients. Social assistance includes but is not limited to:

• Health insurance for adults and children
• Medical Services
• Housing assistance
• Mental health referrals
• WIC and food supplementation
• Job placement
• Legal services
• Domestic violence assistance
• Translation and interpretation of documents
• Application support for affordable housing and utility assistance
• Application support for other public benefits including SSI, disability, etc.
• Services for seniors and vulnerable adults

4. Enroll adults, children and families in health insurance - both public and private.

5. Conduct outreach and enrollment activities to promote health insurance for children, adults, and families.

6. Provide services in the language that is most comfortable for the patient/consumer.

7. Serve as an advocate between the patient and other community providers who offer services.

8. Learn and share best practices for providing services, resources, and coverage for patients/consumers. Share this information with other Community Health Resource Coordinators and organization wide.

9. Represent Union Community Care in public venues.

10. Serve as social assistance case manager meeting with families on a frequent basis to help eliminate barriers and strategize next steps for achieving their goals.

11. Document referrals, social services and patient communication in the Electronic Health Record.

12. Process referrals and documents on behalf of patients to ensure they receive the care and services required in a timely manner.

13. Identify and develop relationships with local for-and non-profit organizations that can potentially make referrals to Union Community Care.

14. Performs other work-related duties as assigned.

POSITION REQUIREMENTS

• Education Required: Bachelors degree preferred, HS diploma.3 or more years of relevant experience.
• Certified Application Counselor or Navigator, required
• Skills Needed: must demonstrate an ability to communicate effectively in person and in writing and work
• collaboratively with community organization representatives, health center staff, and Clinicians.
• Ability to effectively document and schedule in the Electronic Health Record.
• Must be able to accept tasks and assignments directly from Clinicians and execute with a high degree of reliability and quality.
• Ability to work occasional evenings or weekends, as required
• Ability to engage effectively at outreach events in the community.
• English proficiency required

ESSENTIAL FUNCTIONS

In order to fulfill the requirements of this position, duties 1-14 are considered essential functions of the job.

ORGANIZATIONAL INVOLVEMENT

This position is required to participate in mandatory all staff meetings, team meetings and trainings.