AmeriCorps Member – Population Health Patient Engagement Specialist

Moses/Weitzman Health System•New London, CT

8d•Hybrid

About The Position

Healthy Communities is CHC’s AmeriCorps program designed to create cohesion in vulnerable communities and to promote healthcare and support services through outreach, awareness, linkage to care and support. Healthy Communities also serves to identify the unique and integral needs of our communities and neighborhoods and to establish strategic plans to address them. Service delivery will directly address the public health crisis in vulnerable communities and make healthcare and support services accessible through flexible delivery of services. AmeriCorps members will conduct community outreach, education, patient engagement, and link patients to CHCI care and referrals to community based assistance. Additionally, AmeriCorps members will participate in statewide and local activities which promote awareness of health and health services. This is an AmeriCorps Member role –Population Health Patient Engagement Specialist – that supports the Population Health Department at Middletown and New London sites.

Requirements

High school or equivalent required
Proficiency in Microsoft office and internet-related applications
Excellent time management and organizational skills
Excellent oral and written skills
Demonstrated ability to problem solve and remain calm during a crisis
Successful clearance of all required criminal history checks (NSCHC)
Able to travel between CHC sites and in state

Nice To Haves

Associate’s degree in public health, social work related field
Bilingual Spanish/English
Experience and/or understanding of data analysis
Understanding of complex issues impacting patients and barriers to their care

Responsibilities

Conduct monthly patient health education workshops; monitor the completion of pre-post surveys by workshop participants; and complete data entry for workshops and surveys.
Track and document all completed patient engagement activities in patient’s electronic health record.
Administer and collect PRAPARE (Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences) survey from existing patients who are lost to follow up and when needed, connect patient with services
Review and analyze PRAPARE data to formulate presentations and inform patient engagement strategies to improve patient access to care.
Develop and implement patient engagement strategies to aid patients in returning to care.
Provide care coordination services to patients identified through chart reviews and telephone encounters (TE) as not being seen for 12 months and/or unresponsive to CHC automated text messages for appointments.
Conduct outreach to patients who have the greatest number of open care gaps that remain unaddressed through population health campaigns (e.g., text campaigns, mailings) and one on one individual patient engagement (e.g., phone calls).
Support the collection and reporting of population health data for quality measures, such as ER discharges related to substance use disorder and patients who are high ER users.
Create promotional content for patient education and engagement materials that include patient mailers (i.e., letters, postcards).
Research and collaborate with CHC departments to compile and develop centralized resource list that is sustainable to address barriers in patients accessing services.
Conduct outreach via tabling at health fairs and external community partners to provide information about preventive screening, promote scheduling and attendance at wellness visits and person centered care for chronic diseases.
Assist with special events to encourage completion of preventive screenings (e.g., depression screening, cervical cancer screening, breast cancer screening, SDOH screening).
Participate in Performance Improvement Committee Meetings and assist in monitoring follow up on action items related to educating staff on data related to patient engagement strategies.