Community Health Partner - Raleigh/Wake
Core
Community Health Partner supporting integrated social care for members with complex health needs by addressing social determinants of health and collaborating with RN Care Managers.
Role type
Community Health Partner (Care Coordinator)
Builds
Care plans and interventions for vulnerable and underserved populations
Domain
Healthcare / Social Services
Deliverable
client delivery
Required skills
Care coordination, behavioral health screening, community resource navigation, care plan development, data documentation, critical thinking
Preferred skills
Lived experience with underserved populations, knowledge of local community settings
Technologies
Care facilitation and scheduling platforms
Responsibilities
Collaborate with RN Care Managers to support members with complex medical and behavioral health needs; Manage a caseload of members, identifying and addressing social, behavioral, and environmental barriers; Conduct self-efficacy and condition-specific assessments including behavioral health screenings; Support members in closing quality gaps by assisting with provider appointments and referrals; Meet members in community settings (home, shelter, hospital) as needed.
Seniority
Mid-level, hands-on IC
