Responsibilities
- Play an active role in patient registration and enrollment, including organizing community engagement and outbound calls to patients.
- Conduct outreach (virtually and in-person) to patients scheduled for appointments and complete initial intake.
- Engage with a panel of assigned patients to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence, and resource sharing.
- Assess for social determinants of health (SDOH) needs and enroll patients in SDOH programs, including care planning development, referral to community resources, coaching, and graduation planning.
- Collaborate with a multidisciplinary care team to contribute to care plans, triage requests, and solve complex patient needs.
- Document all patient and care team interactions across multiple systems and tools.
- Participate in community events to support patient activation and trust-building, including relationship-building with key contacts, facilitating group education sessions, and liaising with community organizations.
- Provide culturally and linguistically appropriate health education and information.
- Assist with federal and state support program enrollment, appointment scheduling, referrals, and promoting continuity of care.
- Support individualized goal setting using motivational interviewing.
- Conduct individual social needs assessments.
- Provide social support by listening to patient concerns and referring to appropriate support resources.
- Attend and participate in community events as a Zócalo Health representative.
- Coordinate internal clinical services.
Requirements
- Language/Culture Fluency (verbal and written) in English and Spanish.
- High school diploma or GED (minimum).
- Must possess a Community Health Worker certification, which included field experience as a requirement for completion -OR- Demonstration of 2,000+ hours of CHW work (paid or volunteer) in the past three years and required to obtain a Community Health Worker certification within 18 months of hire date.
- 1-3 years healthcare experience or healthcare navigation within the community.
- 2 - 5 years of community work, advocacy, engagement, or organizing.
- Previous working experience in related jobs (health promotion, project coordination, social research, administration).
- COVID-19 vaccination requirement
Nice to Have
- Knowledgeable of Latino customs and cultural norms
- Familiarity with Google workspace.
- Past experience documenting in an EHR.
- Training in motivational interviewing.
- Well-known in and have strong ties to the local Latino community.
- Well versed in local resources to support SDOH needs.
Benefits
- Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company
- Comprehensive benefits (medical/dental/vision)
- Generous home office stipend
- Competitive compensation
- Generous PTO policy including 6 paid holidays.
Work Arrangement
Hybrid
Additional Information
- COVID-19 vaccination requirement
- Willing to travel to support community events and in person patient appointments. Have reliable sources of transportation.