Population Health Resource Associate- HUB

Work Performed

• Provide outreach and care management support to patients; educate clients of available community resources.
• Aid clients with coordination of care between healthcare providers and other complex care team(s).
• Perform a range of non-clinical care management functions including: outreach, health education, informal counseling, social support, resource linkages, interpretation/translation, transportation coordination, and advocacy.
• Build individual and community capacity by increasing health knowledge and self-sufficiency; accurately document activities with follow-up and plans of action.
• Act as a client advocate and support the development of problem-solving skills; provide instructions in basic health care procedures.
• Cook up and/or participate in community health activities such as preparing patient education materials, brochures, bulletins, newsletters and other promotional materials.
• Attend off-site, outreach education and recruitment sessions.
• Maintain liaison with other programs, offices and departments at Duke to coordinate program business and to accomplish program objectives.
• Interface with external organizations as appropriate to ensure cooperative efforts are enhanced and available resources are utilized.
• Promote program on key coalitions and task forces to foster collaboration, educate constituencies, leverage resources, and reduce duplication of services.
• Monitor and evaluate program effectiveness, investigate trends, and recommend and implement modifications to improve program effectiveness.
• Prepare reports and conduct preliminary analyses setting forth progress and adverse trends.

Knowledge, Skills and Abilities

• Organized and motivated by a fast-paced environment
• Able to manage multiple tasks/projects simultaneously
• Proficient in review and assess needs quickly
• Strong with the use of computer software tools and data files
• Comfortable with continuous change and self-initiating
• Able to complete documentation in a quick and efficient manner

Level Characteristics

• Maintain strict confidentiality
• Promote programs and services to community
• Build effective and trusting relationships with patient/peers
• Use motivational interviewing and active-listening skills when assessing patient conditions, problems and interests
• Use conflict-resolution skills when reaching consensus about plans of care and treatment decisions
• Demonstrate confidence, compassion, political savvy, as well as attention to detail to apply these skills as decisions dictate
• Use data to analyze trends and to verify data

Minimum Qualifications

• Education: High school degree or equivalent, along with strong communications and organizational skills.
• Experience: Two years of experience with customer interactions via phone and marketing/communications preferred. Active user of electronic medical records software strongly preferred. An associate’s degree or higher may be substituted for experience.
• Degree/Licenses/Certifications: Not applicable.