Bilingual Community Health Advocate
Montage Health’s application process has changed effective 12/20/2019.
If you submitted an online application prior to 12/20/2019, you will be required to recreate your profile information if you want to apply to any new positions. You will no longer have access to your previously saved profiles and applications. Current employees applying for transfer into a posted position must also create a profile.
- Excellent Pay and Generous Benefits including a Pension and Continuing Education Reimbursement
- Excellent Team Orientated Culture
- Free Gym for Employees
- "Best Place to work in Monterey County" 11 years in a row!
Community Health Advocate
CHI convenes the medical community and articulates a collaborative vision for improving the quality, safety, and efficiency of healthcare in Monterey County through an integrated population management strategy that enhances access to providers, improves caregiver communication and fosters a team approach to care delivery. The patient-centric team approach is supported through in-office and community-based clinical services, and integrative health information technology (HIT).
Integrative HIT facilitates connectivity across the care site continuum and enables the development of evidence-based clinical decision support tools, and performance measurement systems. They also support patient engagement providing information to empower them to be active participants in fostering and maintaining their own health.
In addition, CHI engages payers in designing value-based insurance products that promote evidence-based workplace wellness, primary prevention and disease management to keep our community healthy and reduce the clinical and financial burden of disease.
Purpose of Position
The Health Advocate is responsible to support community members and their social and health needs by referring them to community resources, services and medical systems. The Health Advocate will be based in medical practices and/or a mobile health clinic as part of the care team.
- Actively engages, builds rapport, establishes a trusting relationship and candid communication with community members, member family support systems when available and practice providers and staff
- Assesses social determinants of health needs for moderate-risk community members and documents assessment results or augments available information in electronic medical record
- Consults with or refers community members to licensed staff (nurse practitioner, physician assistant, physician) as required based on community member social, health risk and medical complexity
- Establishes relationships and partners with community resources, health plans and providers by participating in local community engagement activities with local agencies e.g. faith based organizations, community centers, government agencies, parks, recreation centers and schools
- Assists community members with problem-solving barriers to moderate health conditions by identifying, locating, referring to needed community and medical system services including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services, where appropriate
- Determines social determinants of health concerns/ gaps, develops and documents a plan to address moderate social and health disparities
- Documents member activities and progress notes in appropriate systems and provides reports to management
- Actively participates as part of provider practice Interdisciplinary Team Meetings
- Identifies gaps in community resources and medical systems and supports the implementation of new solutions or services to close identified gaps
- Responsible for data collection and reporting
- Makes recommendations for program improvements
- Participates in patient-centered activities across the continuum of care in order to facilitate and promote high quality, cost effective outcomes focused on self-management, lifestyle modification support and appropriate and applicable resource connection
- Other duties as assigned
- Bilingual in predominant secondary language of local community (Spanish)
- High school diploma is required
- Bachelor’s degree in Social Work, Psychology, Biology, Public Health, Nursing, Community health or Health-allied field preferred, OR equivalent experience
- Knowledge of state and federal laws, regulations and policies applicable to scope of practice
- Excellent time management and organizational skills
- Excellent written and verbal communication skills, must be able to communicate clearly and concisely with all levels of individuals, sometimes in stressful situations
- Ability to tailor information at the appropriate level of health literacy and to interact respectfully with diverse cultural and socio-economic populations
- Must be able to work flexible hours including evenings and weekends as needed
- Must be able to manage conflict, stress and multiple simultaneous work demands in an effective professional manner and be comfortable in an informal, friendly environment
- Must demonstrate respect, concern and empathy for the spiritual and emotional needs of patients
- Must be able to effectively work with patients, health service providers, agencies and others from diverse backgrounds to reduce cultural and social-economic barriers
- Excellent rapport and trusting building skills with a disenfranchised population
- Knowledge of managed care concepts, health promotion strategies, behavior change techniques, and disease management and prevention protocols
- Ability to work independently, problem solve, and design creative solutions to complex challenges
- Detail oriented, organized, and efficient
- Ability to effectively engage with clinical partners and other stakeholders
- Strong commitment to teamwork with ability to contribute expertise and follow leadership directives
- Ability to thrive in a continually evolving environment with competing priorities
- Strong computer skills with proficiency in Microsoft Office (Excel), Outlook, Word, PowerPoint, electronic medical record systems (Epic preferred), and web-based solutions
- Community Health Worker/Advocate experience in local community
- Valid CA Driver’s License and proof of auto insurance coverage required
Community Health Innovations is an equal opportunity employer.
Job Status: Full Time
Job Reference #: 2020-195