Outreach & Engagement Specialist

About the Role

The Outreach and Engagement Specialist is an integral part of the Care Management team.

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 the patient with the Health Home emergency number
• Educate the patient on the policies concerning covered services and what to do in an emergency
• Provide the patient with a list of Health Home providers including those based at CHN
• Inform the new patient about their rights for continuation of an ongoing course of treatment
• Provide patients with information on managed care organizations
• Inform patient on their right to "free access" in receiving family planning services
• Provide patient with general information on chronic conditions, mental illness, HIV prevention and primary care

Qualifications

• Associate's 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