Targets outreach to community members, builds sustainable relationships that result in increased access to health care in the most appropriate setting and community-based health education, and supports the primary care team. Serves as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. Builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as// outreach, community education, informal counseling, social support and advocacy.
High school diploma or equivalent. Residency within the target population preferred.
Participation with a community organization, verified by personal or professional reference with personal knowledge of this fact, preferred.
No special certification, registration or licensure is required.
Knowledge, Skills & Abilities
Effective oral and written communication skills. Personal knowledge of the target population, as shown by residency in that neighborhood. Cultural competency. Knowledge of local resources and system navigation. Advocacy and community capacity building skills. Care coordination skills. Teaching skills to promote healthy behavior change. Outreach methods and strategies. Ability to bridge needs and identify resources. Understanding of ethics and confidentiality issues. Ability to use and understand health information technology.
Primary Duties and Responsibilities
Advocates for individual and community health equity.
Collects, tracks and reports information about the community and community benefits.
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
Enhances community residents’ ability to effectively communicate with health care providers.
Identifies and addresses issues that create barriers to care for specific individuals.
Integrates with patients care team to support progress in care plan and overall patient wellness.
Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
Performs other duties as assigned.
Proactively identifies and refers individuals to federal, state, private or nonprofit health and human services programs.
Provides care, support, follow up, and education in community settings.
Provides culturally and linguistically appropriate health education.
Provides evidence-based health guidance and social assistance to community residents.
Provides referral and follow-up services or otherwise coordinates human services options.
Serves as a liaison between communities, individuals and coordinated health care organizations.
Staffs community events and activities as needed.