Community Health Partner

Key Responsibilities

• Collaborate with RN Care Managers to support members with complex medical and behavioral health needs.
• Manage a caseload of members, identifying and addressing social, behavioral, and environmental barriers to optimal health.
• Develop and implement care plans in partnership with members, addressing social needs and supporting members in achieving their care goals.
• Conduct self-efficacy and condition-specific assessments, including behavioral health screenings (PHQ-9, GAD-7, AUDIT, DAST-10), and refer members to appropriate behavioral health programs as needed.
• Support members in closing quality gaps by assisting with provider appointments, diagnostic or lab testing, and referrals to community resources.
• Utilize care facilitation and scheduling platforms to document interactions, track tasks, and communicate effectively with members, the care team, and community partners.
• Meet members in community settings (home, shelter, hospital) as needed, serving as an extension of the care team.

Job Requirements

• Professional Experience & Knowledge: 2+ years of progressive experience in care coordination, community health, health promotion, or a related field.
• Problem Solving: Strong critical thinker with sound judgment who knows when to collaborate and escalate clinical concerns. Identifies system barriers to care and develops creative, practical solutions.
• Communication: High quality written, verbal and presentation communication. Has previous experience with documentation.
• Behavioral Competencies: Member Advocate Mission Driven, Compassionate Care, Business Acumen, Collaboration, Engaged Culture, Results Driver, Strategic Clarity, Proactive Approach, Accountability, Growth Agent, Adaptability, Innovation.

Success Metrics

• Care plans completed and updated collaboratively with members and RN Care Managers.
• Members demonstrate progress toward achieving social and health-related goals.
• Referrals and interventions effectively address social determinants of health.
• Absence of quality gaps due to assistance with provider appointments, lab testing, and other services.
• Effective communication and collaboration with RN Care Managers, interdisciplinary care team, and community partners.
• Timely identification and escalation of members needing additional support or higher levels of care.

Job Benefits

We offer health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: $27.40 - $35.10 Hourly.

We value diversity and are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.