Community Wellness Advocate — Boston, MA (On-Site)
Support Boston seniors and vulnerable patients through home visits, care coordination, health education, and access to healthcare, benefits, and community resources.
विवरण
- Initiate face-to-face contact with eligible patients, explain the program and participation benefits, and begin screening
- Schedule and complete hospital, clinic, and community visits, screenings, care plans, follow-ups, and phone calls
- Deliver educational messages using culturally, linguistically, and educationally appropriate approaches
- Document activities, assessments, patient updates, and data in patient records, care management systems, and Epic
- Support community outreach, presentations, material development, and telephone engagement
- Partner with patients and providers to establish care goals and offer guidance
- Reinforce disease self-management education by connecting clients with community services and programs
- Present patient cases during review meetings
- Consult Patient Care Managers, clinical staff, behavioral health teams, and primary care providers about complex patient situations
- Work within an interdisciplinary team to connect patients with appropriate resources
- Track participant progress toward established goals
- Prepare required reports and documentation
- Help patients organize records, arrange and attend follow-up appointments, and fill prescriptions
- Assist patients with applications for Medical Assistance, housing, and SNAP
- Provide advocacy, patient education, and warm handoffs to community and hospital programs
- Help patients address barriers related to healthcare, behavioral health, financial assistance, childcare, housing, utilities, food, transportation, and other resources
- Coordinate with community-based long-term services and supports
- Conduct intensive home and community outreach, motivational interviewing, goal setting, resource connection, and appointment accompaniment
- Visit patients in hospital and emergency department settings to support care transitions
- Build culturally appropriate, trusting relationships with patients and families
- Attend assigned training, supervision, and program meetings
- Develop and maintain relationships with community organizations and resources
- Do not provide hands-on care or home health services
आवश्यकताएँ
- High school diploma with community experience or a bachelor’s degree
- Valid driver’s license
- Community Health Worker (CCHW) certification
- At least two years of healthcare, public health, or community-based experience
- Basic knowledge of the healthcare system
- Strong interpersonal skills for working with patients and families
- Interest in community health and outreach
- Excellent organizational skills, with the ability to multitask and work independently and collaboratively
- Strong spoken and written English communication skills
- Haitian Creole or Spanish fluency preferred
- Understanding of how language, culture, and socioeconomic conditions affect health
- Commitment to working with diverse, multicultural, and multilingual populations
- Proficiency with Microsoft Office applications, including Word, Excel, Access, and Outlook, as well as web browsers
- Proficiency in data entry and data tracking
लाभ
- Medical, dental, vision, and pharmacy coverage
- Discretionary annual bonuses
- Merit-based pay increases
- Flexible Spending Accounts
- 403(b) employer matching
- Paid time off
- Career advancement opportunities
- Resources supporting employee and family well-being