Lead, Community Outreach and Care Coordination (Bilingual English/Spanish)
About The Position
Project FoodBox is a Food as Medicine company that partners with health plans, community organizations, and local farms to deliver medically tailored groceries to individuals facing chronic conditions and food insecurity in California and New York. Since 2020, they have delivered a significant volume of food boxes. The company is experiencing rapid growth and is seeking individuals to help shape its national expansion. This role is for a Community Outreach and Care Coordination Lead to establish and manage the Upstate New York field team, beginning in the Finger Lakes region. It is a player-coach position, requiring the individual to supervise four Community Outreach Coordinators across 14 counties while also performing screening, navigation, and enrollment tasks in the field, dedicating approximately half of their time to each aspect. The Lead will be responsible for key regional partnerships with entities such as health systems, FQHCs, food banks, and community organizations, and will act as the local point of escalation for the SCN partner. The position reports to the NY Regional Manager, Community Outreach.
Requirements
- Bilingual in Spanish and English
- 3+ years of case management, care coordination, or community health work with Medicaid populations
- 1+ year supervising or leading staff
- Based in or near Rochester, with a valid NYS driver's license, reliable vehicle, and willingness to drive long rural distances — some county days are up to two hours out
- Strong documentation habits and comfort with data and weekly reporting
Nice To Haves
- Experience with social needs screening and referral in FindHelp, Unite Us, or a similar platform
- NYS CHW certification, or Health Home or ECM care management experience
- Knowledge of Rochester and Finger Lakes community resources
- Bachelor's degree in social work, public health, human services, or a related field
Responsibilities
- Supervise, coach, and support four coordinators across the Finger Lakes, including weekly check-ins and field ride-alongs
- Build and manage the territory schedule — recurring county days, events, and travel routes across 14 counties
- Conduct HRSN screenings, eligibility assessments, and navigation in FindHelp, and enroll members in food boxes and ECM in the field
- Own the region's highest-value referral partnerships: health systems, FQHCs, Health Homes, behavioral health providers, food banks, and community organizations
- Review your team's screenings, navigation records, and case notes for quality and compliance
- Connect members to housing, transportation, and behavioral health resources, and send warm leads to our call center
- Report weekly on screenings, enrollments, leads, and partner pipeline, and keep activity current in HubSpot
Benefits
- Paid holidays and flexible, unlimited PTO
- Medical/Dental/Vision plan options
- Weekly food box for employees within delivery zones
- 401(k) retirement plan with company match, subject to plan terms and eligibility
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
