Position Summary:
Assist individuals and communities to adopt healthy behaviors. Conduct outreach for medical personnel or health organizations to implement programs in the community that promote, maintain, and improve individual and community health. May provide information on available resources, provide social support and informal counseling, advocate for individuals and community health needs. May collect data to help identify community health needs. By doing this, the Community Health Outreach Worker helps their organization fulfill its mission to service the community.

Primary Responsibilities:

 Update and maintain updated client records with plans, notes, appropriate forms, or related information.
 Advise patients and/or groups on issues related to diagnostic screenings or tests
 Advise patients or community groups on issues that could lead to prevention of conditions
 Identify the particular healthcare needs of individuals in a community or targeted area
 Advise clients or community groups on issues related to improving general health such as diet and exercise
 Advise clients or community groups related to self-care
 Accompany patients to scheduled health appointments or referral sites
 Identify or contact members of high-risk or otherwise targeted groups
 Distribute flyers, brochures, or other informational or educational documents to inform members of a targeted community
 Contact clients in person, by phone, or in writing to ensure they have completed required or recommended actions.
 Monitor clients to evaluate treatment progress.
 Confer with clients to discuss treatment plans or progress.
 Refer community members to needed health services
 Refer clients to community or social service programs
 Advocate for individual or community health needs with government agencies or health service providers
 Teach classes or otherwise disseminate medical or dental health information to school groups, community groups, or targeted families or individuals, in a manner consistent with cultural norms
 Collect information from individuals to compile vital statistics about the general health of community members
 Help patients get needed services or resources
 Interpret, translate, or provide cultural mediation related to health services or information for community members
 Provide feedback to health service providers regarding improving service accessibility or acceptability
 Develop plans or formal contracts for individuals, families, or community groups to improve overall health
 Attend community meetings or health fairs to understand community issues or build relationships with community members
 Partner with care team (community, providers, and internal staff)
 Ability to travel locally 75% of the time
 As needed, help the patient engage with mental health and/or substance use treatment
 Have familiarity with Narcan/Naloxone distribution
 Knowledge of the Recovery process and the ability to facilitate recovery using established standardized mental health processes
 Plan, strategize, host outreach events
 Ability to lift, bend, and/or stoop
 Lift 25 pounds without assistance
 Ability to drive and operate outreach van
 Knowledge and learning of continued cultures and values

Preparation and Training:
High school diploma/GED equivalent required. Preferred with experience in community setting and linking patients to various community resources and experience with connecting patient to community resources. Individuals with lived experience are encouraged to apply. Bachelor’s degree in a Social Sciences field such as Sociology, Psychology or Social Work is preferable. Bilingual and multilingual capabilities are preferred. Field based experience required. Valid Driver’s license.
Experience:
Requires good written and oral communication skills, ability to work well independently and with a team and basic computer/word processing skills. Previous experience in peer support work desired. Some early morning, evening, and weekend work may be required. Demonstrated possession of knowledge, skills, and abilities as stated above through at least one year of experience in performing similar tasks in a hospital, clinic, nursing home, medical corps, prison or other social or rehabilitation services.

Experience:
Requires good written and oral communication skills, ability to work well independently and with a team and basic computer/word processing skills. Previous experience in peer support work desired. Some early morning, evening, and weekend work may be required. Demonstrated possession of knowledge, skills, and abilities as stated above through at least one year of experience in performing similar tasks in a hospital, clinic, nursing home, medical corps, prison or other social or rehabilitation services.

Position Summary:
TAPM (Triad Adult and Pediatric Medicine) patient navigator will guide patients through the health care system and help them overcome barriers that prevent them from getting the care they need. Our patient navigators will assist patients transitioning from uninsured or self-pay to available programs they qualify for regarding medical insurance coverage, sliding fee scale and GCCN Orange Card. Responsible for connecting new and established patients to resources to help overcome barriers to care. Responsible for tracking and documenting interactions with patients for data collection as needed.
Primary Job Responsibilities:
• Assist eligible patients to transition from uninsured or self-pay to programs such as Medicaid, Health Insurance Marketplace, Guilford Community Care Network (GCCN), or the TAPM Sliding Scale Fee Program.
• Assist newly enrolled Medicaid patients to establish care with a medical provider by assisting them through the new patient application process.
• Ensure all insurance, demographic, eligibility, and clinical information are obtained and entered in the EHR system accurately.
• Assist with determining sliding scale fee eligibility.
• Schedule the initial new patient appointments for newly enrolled Medicaid patients as needed.
• Educate patients regarding plan options, coverage details, benefits, enrollment processes, resources, and available TAPM services.
• Identify and connect patients to resources to overcome barriers to care (i.e., financial assistance, medication assistance, transportation, etc.).
• Assists new patients with first appointment.
• Document and track all interactions with patients/others appropriately to ensure proper documentation and data collection as needed for program reporting and tracking.
• Provide all services in an ethical, respectful, and compassionate manner while maintaining patient dignity.
• Maintain expertise in eligibility, enrollment and program specifications and provide information to patients in a fair and impartial manner.
• Participate in professional development, staff meetings, continuing education, quality improvement and performance review as required.
• Participates in Quality Improvement initiatives to improve efficiency and effectiveness of patient health outcomes.
• Abides by Health Center guidelines, policies and procedures, and HIPAA regulations.
• Willingly perform other duties as assigned.
Minimum Qualifications
• 1 to 3 years of experience in healthcare, customer service, education, community outreach, public health, benefits enrollment, and/or related fields.
• Bilingual Preferred (English/Spanish)

Preparation and training:
• Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use and e‐mail communication.
• Excellent verbal and written communication skills.
• Must be able to work with changing priorities.
• Requires excellent organizational, problem solving and critical thinking skills.
• Must be able to interact with individuals of all cultures and levels of authority.
• Requires the ability to maintain confidentiality.
• Must be able to function as part of a team and work independently without direct supervision.
• Experience with electronic documentation systems.