Targets outreach to community members, builds sustainable relationships that result in increased access to health care in the most appropriate setting and community-based health education, and supports the primary care team. Provides care coordination and connection to resources and programs for patients to improve their health and general well-being through education and provision of coordination of care and services. Serves as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. Builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.