Community Health Advocate Lead
About The Position
The Community Wellness Advocate (CWA) Lead provides day-to-day leadership and operational support for the HEART CWA + Outreach team, serving clinically and socially complex patients enrolled in the HEART of Communities program. The role supports HEART’s mission to improve hypertension and diabetes control while addressing social and structural factors that disproportionately affect the health and economic status of eligible populations. The CWA Lead combines direct, patient-centered navigation with team leadership, oversight, workflow coordination, and workflow integration. The position serves as a link between the CWA team, the Operations Manager, and the broader HEART leadership team, helping ensure navigation competencies—including resource allocation, psychosocial support, goal-setting, and motivational interviewing—are consistent, responsive, well-documented, and aligned with program goals.
Requirements
- Bachelor’s degree and at least three years of experience working with patients in a healthcare setting, or an equivalent combination of education and experience.
- Community Health Worker Certification within six months of hire.
- Strong oral and written communication, interpersonal, organizational, and record-keeping skills.
- Proficiency with software applications, including Microsoft Office and electronic medical record systems.
Responsibilities
- Lead the CWA team by providing onboarding, training, education, and hands-on support for complex cases; lead team and individual meetings; and support the Operations Manager with CWA workflow development and implementation.
- Manage and support a panel of patients enrolled in the HEART program who are navigating diabetes and hypertension care through proactive outreach, relationship building, assessment of social, financial, and clinical barriers, remote monitoring support, and ongoing follow-up in collaboration with the care team.
- Coordinate referrals to community resources, assist with benefits and service applications, support healthcare and resource navigation, address barriers to care, and promote patient self-advocacy and engagement in clinical care and social services.
- Collaborate with patients and the care team to identify clinical goals and address health-related social needs.
- Provide culturally responsive health education, self-management support, coaching, and reinforcement to promote healthy behaviors and help patients achieve care goals.
- Document assessments, patient interactions, barriers to care, interventions, and care plans accurately and promptly.
- Communicate key patient updates and recommendations succinctly during team huddles and care reviews.
Benefits
- Medical, dental, vision, and pharmacy benefits
- Discretionary annual bonuses and merit increases
- Flexible Spending Accounts
- 403(b) savings matches
- Paid time off
- Career advancement opportunities
- Resources to support employee and family well-being
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What This Job Offers
Job Type
Full-time
Career Level
Manager
