Outreach & Engagement Specialist

Community Healthcare Network Inc•New York, NY

1d•$0 - $49,828

About The Position

Community Healthcare Network (CHN) is a not-for-profit organization providing more than 65,000 New Yorkers with primary and behavioral healthcare, dental, nutrition, wellness, and needed support services. Our network is made up of 14 federally qualified health centers throughout Brooklyn, the Bronx, Queens, and Manhattan, along with a fleet of mobile vans that bring health services to underserved people in need throughout New York City. We provide judgment-free, high-quality healthcare, without regard to race, religion, orientation, gender identity, immigration status or ability to pay. We turn no one away. The Outreach and Engagement Specialist is an integral part of the Care Management team. Some of the primary responsibilities include to patient finding through engagement with community based organizations, timely follow up with referrals, outreach, enroll and complete intake screening for patients assigned, link patients to care, educate patients on their health conditions, educate patients on resources and services for which they are eligible, assist patients with immediate and urgent needs identified during intake, document all patient encounters and interventions in the patient’s charts, perform office administrative duties including the scanning and uploading of documents and delivery of direct care coordination services to patients.

Requirements

Associates Degree or equivalent of college credits from an accredited college/university required with one year of community outreach or care coordination experience
High School Diploma or GED along with 3 years of community outreach or care coordination experience.

Responsibilities

Conduct new patient’s assessment screenings consistent with the Scope of Services
Conduct outreach activities to newly assigned patients both in person and telephonically
Engage in outreach efforts to support patient retention in HH care coordination services and primary care both in person and telephonically.
Conduct community outreach visits to patients including to patients homes, shelters, hospitals and other points of contact within the community
Provide expedited visit to patients for urgent situations such as hospitalization
Inform patients of our ancillary services and give them health education materials
Actively seek out and engage in relationship building with Community Based Organizations (CBO) in order to generate referrals to care coordination and other CHN services
Establish working relationship with CHN interdisciplinary team to generate and respond to internal referrals including but not limited to attending care conferences, searching via ECW, facilitating presentations amongst others
Notify Care Team of outcome of assigned care coordination tasks
Assist the patient in selecting a Primary Care Provider (PCP) or Mental Health Provider and offer assistance in arranging an initial visit with their healthcare provider
Provide patient with general information on chronic conditions, mental illness, HIV prevention and primary care
Perform office administrative duties including the scanning and uploading of documents
Delivery of direct care coordination services to patients
Document all patient encounters and interventions in the patient’s charts
Assist patients with immediate and urgent needs identified during intake
Educate patients on their health conditions
Educate patients on resources and services for which they are eligible
Link patients to care
Enroll and complete intake screening for patients assigned
Timely follow up with referrals
Patient finding through engagement with community based organizations