Job Description
Job Title: Community Outreach Advocate – Crossroads
Summary:
Under the direction of the Clinical Operations Department, the Community Outreach Advocate (COA)-Crossroads will work in collaboration with the primary care team responsible for patients experiencing homelessness.
The population is inclusive of people living with multiple complex unmanaged/undermanaged chronic conditions, mental health conditions, substance misuse disorders, trauma history, multiple barriers to adherence, low health literacy, and high social determinant of health barriers with the goal of improving health equity for our patients and improve their ability to self-manage their health.
Outreach includes, but not limited to, facility visits, clinic visits, community visits, home visits, telephonic outreach, and HIPAA compliant virtual meetings. This requires off site travel throughout RI. The COA – Crossroads will support the patient to address social determinants of health (i.e. food, housing, transportation) barriers by identifying and connecting patients with the appropriate resources in the community, as well as assisting patients with any care coordination and data collection. Collaboration with other disciplines and services within PCHC is essential in the support of a patient centered plan of care. Additional collaborations can include, but are not limited to, health specialists, community agencies & resources, external case management supports, and schools.
Essential Duties & Responsibilities: include the following: other duties may be assigned
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Certifications
Required
Preferred
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