Community Engagement Specialist I

Elderwood • Monroe County, NY

2d • Hybrid

About The Position

This is a clinical-adjacent role focused on community health and care coordination. The Community Engagement Specialist will work directly with medically complex or vulnerable populations in their homes and communities. The role involves identifying barriers to care, supporting social determinants of health (SDOH) interventions, and assisting interdisciplinary care teams to improve outcomes. This position is a special project opportunity supporting a community health initiative for approximately three months, with the potential to transition to per diem LPN opportunities within the Elderwood Network.

Requirements

• Minimum two years of experience working with complex healthcare populations
• Experience supporting Medicare, Medicaid, MLTC, or similar populations
• Comfortable conducting home and community visits
• Reliable transportation required
• Experience using EMR/EHR systems
• Ability to read, write, speak, and understand the English language at an intermediate or more advanced level

Nice To Haves

• Experience working with frail, elderly, or chronically ill individuals preferred
• Bilingual (English/Spanish or other languages) preferred

Responsibilities

• Conduct in-home and community visits to assess member safety, stability, and overall well-being
• Identify and document changes in member condition, environment, or service effectiveness
• Help address social determinants of health (SDOH) by connecting members to community resources
• Promote member education, engagement, and independence in managing their care
• Communicate observations and concerns to Care Managers and interdisciplinary teams
• Assist with documentation review to support care planning, audits, and quality initiatives
• Support gaps-in-care identification and follow-up
• Participate in care coordination workflows and escalation processes when concerns arise
• Monitor member satisfaction and service delivery concerns
• Participate in audit readiness activities and quality improvement initiatives
• Review dashboards and reports to identify trends and service gaps
• Assist with data validation and quality follow-through
• Provide operational support across Care Navigation and Quality teams as needed
• Maintain accurate documentation in the electronic medical record (EMR)
• Follow HIPAA, Medicare, and Medicaid compliance requirements
• Adhere to safety protocols during community visits
• Participate in team meetings, case reviews, and required training

Benefits

• Opportunity to transition to per diem LPN opportunities
• Flexible scheduling (for per diem roles)
• Ability to pick up shifts ranging from occasional coverage to part- or full-time hours (for per diem roles)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed