COMMUNITY HEALTH ADVOCATE

UPHAMS CORNER HEALTH CENTER•Boston, MA

11h

About The Position

Under the supervision of the Director of Nursing, the Community Health Advocate provides support and linkage to services, advocacy, education, and information in order to ensure optimal health outcomes, increase access of services, and support the patient in self-management of health goals. The Advocate also serves as a cultural bridge to the health care system aiding in identifying and supporting the patient’s cultural identity.

Requirements

Bilingual in English and Spanish or Cape Verdean Creole, or Vietnamese.
B.A or B.S in related field or three to five years experience in health and human services.
Excellent inter-personal, computer and writing skills as well as a desire to work in a helping profession with people in need.
Evening and Weekend flexibility.

Responsibilities

Promotes and educate patient community around community resources, and assist in accessing programs.
Provides and links patients with community resources and referrals.
Completes needs assessment including Social Determinants of Health.
Provides Case Management services including Patient Centered Treatment Plan.
Helps patient obtain transportation to necessary medical appointments via PT-1 forms, bus vouchers, cab vouchers and other resources.
Provides a cultural bridge between patients and the health care system.
Works within the Patient Centered Medical Home Model with primary care providers, Behavioral Health, home care providers, and other care team members on complex client situations.
Assists patients/family with identifying barriers and problem solve solutions and self-management skills.
Provides direct support on immigration issues including applying for citizenship (N648) and completing the Adjustment of Status.
Participates in various UCHC committees to address the complex needs of patients.
Participates in work groups to pilot strategies to increase arrival rates.
Completes outreach to patients who are newly and chronically lost to follow up.
Works with Care Teams to assist people with new and chronic health illnesses such as Diabetes Mellitus, cardiac conditions, HIV, and others.
Participates with planned outreach/education activities in the community.
Identifies and help resolve potential/actual crises in collaboration with multidisciplinary team.
Provides cross-cultural interpreter services and education for patients throughout the care continuum.
Conducts home visits after consultation with care teams and management.
Documents patient/ collateral contacts in the EHR and maintain statistics.
Participates in quality improvement projects within department and interdepartmentally as needed.
Attends in-service trainings and outside seminars, as indicated.
Performs other related duties as required.