Community Health Coordinator

3 weeks ago

Montclair New Jersey, United States HarmonyCares Full time
Overview:
HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

 

Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.

 

Our Shared Vision – Every patient deserves access to quality healthcare.

 

Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.

 

Why You Should Want to Work with Us

Health, Dental, Vision, Disability & Life Insurance, and much more

401K Retirement Plan (with company match)

Tuition, Professional Licensure, and Certification Reimbursement

Paid Time Off, Federal Holidays, and Volunteer Time Off

Paid Orientation and Training

Day Time Hours (no holidays/weekends)

Great Place to Work Certified  

Established in 11 states

Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today

Responsibilities:
The Community Health Coordinator (CHC) works collaboratively with HarmonyCares Medical Group team to implement a person-centered plan of care to assist patients and their families navigate access to community services and resources. The CHC provides intensive support, advocacy and empowerment as well as assessing social barriers that affects the patient’s health.

 

Essential Duties and Responsibilities 

Assist patients in identifying and navigating to and through various health and social resources that will help patients achieve health outcomes

Work as part of a collaborative care team to achieve optimal quality and patient experience outcomes, including being an active member in patient High Risk Huddles

Provide home visits when necessary to at-risk patients and families for evaluation of needs to provide assistance

Reach out to patients who are discharged the hospital and/or Emergency Room in order to understand, collect, and close care gaps

Report specific health and social information as part of the interdisciplinary care team

Address identified barriers to care that led patients to the utilization of ED rather than their HarmonyCares Medical Group provider

Encourages high risk patients or utilizers to engage with their HCMG provider before utilizing the acute care setting

Perform a variety of assessments with patients they engage with, to include, but not limited to, Social Determinants of Health

Document all activities in various systems

Perform other duties as assigned

Qualifications:
Required Knowledge, Skills and Experience

High School Diploma or equivalent

Experience working with community agencies providing services encompassing the basic competency areas of health care (community resources, communication skills, individual and family advocacy)

Familiarity with the resources available within the community

Self-directed with excellent problem solving skills

Must be well-organized, detail-oriented, and have the ability to multi-task in a demanding and constantly changing environment

Strong interpersonal communication skills and the ability to communicate easily with others, including demonstrating active listening skills

An ability to gain respect and build rapport with community members

Demonstrate flexibility in addressing changing community needs and program environment

Ability to travel within assigned geographic area if required by leadership

Valid driver’s license and automobile insurance required

Strong time management skills

Strong commitment to patient advocacy

 

Preferred Knowledge, Skills and Experience

Community Health Worker Certification

Proficiency with EMR and Population Health software/applications

Experience in community work, education, or health care

Knowledge of basic medical terminology

Experience in speaking with patient over the phone

Experience in supporting patients who are elderly and/or have chronic conditions

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