Wellness Advocate

Vista Community Clinic•Vista, CA

About The Position

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

Requirements

High school graduate or equivalent
CNA Certificate
Certification/minimum two years’ education in chronic disease/health
Bilingual English/Spanish
Ability and willingness to work flexible hours, including evenings and weekends
Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff
Ability to interface with all levels of personnel in a professional manner
Ability to work with people of all social and ethnic backgrounds and within the constraints of government funded programs
Ability to plan and facilitate internal and community meetings
Experience/familiarity with computers and proficient in Microsoft Office products, specifically Word and Excel
Familiar with business e-mail, communication systems and internet search capabilities
Familiar with operation of telephone, fax and copier equipment

Nice To Haves

Medical Assistant experience preferred working with the medical home concept or for a non-profit community health clinic

Responsibilities

Provide care management services to patients who are high risk for health deterioration or poor health outcomes.
Work towards improving health outcomes through scheduling preventive and maintenance care appointments, educating patients, building a strong relationship between patients and clinicians.
Enhance communication and continuity of care using a culturally-sensitive approach with all patients whether by person, by telephone, via text message, or through the VCC Patient Portal.
Work towards increasing patient access to appointments, services and health care resources to support patients’ self-care management goals.
Utilize the PCMH model to provide coordinated team care that addresses current health issues, preventive care and health maintenance follow-up to improve health outcomes and reduce health disparities.
Provide end of visit interviews, process referrals for outside agencies and specialists, initiate patient engagement conversations as directed by the Clinicians, documenting in the patients’ progress note or Care Plan.
Coach patients using positive reinforcement and encouragement and a flexible approach to address critical issues to help patients develop achievable self-management care plan goals, presenting new skills using a step-by-step process.
Act as point of contact for patients and families asking questions or raising concerns through the patient portal, or via telephone and/or texting.
Use motivational interviewing to gather patient information and understand barriers from the patient’s view to enhance efforts to engage, educate and empower behavior changes.
Assist in recruiting individuals for participation in educational programs.
Reinforce information given to the patient and/or family with handouts to improve patient self-management skills and communication.
Assist in data collection, data entry, and evaluation processes.
Assist in the development of a wide range of materials such as educational curriculum, fliers and news releases.
Perform population management tasks such as appointment scheduling, prevention and screening recalls, patient portal callbacks and responding to telephone messages.
Compile written reports as needed.
Attend mandatory in-service training sand related meetings, providing feedback on the content of those attended.
Serve as representative at professional meetings as needed.
Serve as a liaison between program and community.
Assist in planning, developing and implementing program strategies.
Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and workshops.