This position supports community connection activities, focusing on linking members to essential community resources to aid their care management journey and ensure cost-effective care. The role involves providing members with information on known community resources, assisting the care team in identifying member community support needs, and offering health education. The coordinator will also support members with community and care resource inquiries, promote awareness of available care/services, and manage member-related correspondence and educational materials to facilitate successful community connections. Additionally, the role involves assisting the clinical team (nurses and social workers) with outreach, community education, informal guidance, and member support. The coordinator will conduct non-clinical general health assessments and non-medical assessments (e.g., home safety, community/environment resources, transportation, employment) to refer members to appropriate services, resolve concerns, and gather information for medical providers. This role requires telephonic and/or in-person outreach to locate hard-to-reach individuals and families, including potential visits to homes and community organizations. A working knowledge of Social Determinants of Health (SDOH) barriers is essential. The position requires the individual to reside in North Carolina for travel within specific counties (Bladen, Brunswick, Columbus, Cumberland, Harnett, Hoke, Lee, Montgomery, Moore, New Hanover, Pender, Richmond, Robeson, Sampson, and Scotland County).
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED