CCA's Engagement Center Health Outreach Worker (HOW) will provide patient navigation and support for patients with complex behavioral health and social needs. This person will report to the Engagement Center Director. The Engagement Center HOW will extend the CCA outpatient model of patient centered care management to a setting in the community and possibly in their home.

The HOW will focus on:

• Supporting the Director and Manager in organizing and managing programming and flow in the center.
• Providing patient assessments in the engagement center to help access their social determinants of health.
• Conducting social needs assessments of patients, and then mapping discovered needs to appropriate resources in the community.
• Building trust-based relationships with patients and their primary care provider.
• Empowering and educating patients in group settings to help in self-management of their behavioral health, social determents of health, and medical conditions.
• Communicating to primary outpatient care teams to ensure thoughtful care coordination and transitions.
• Developing an expertise in caring for the complex behavioral health patients and how to connect them to their care coordinator or primary health provider.
• Having the ability to provide minimal crisis management.
• Support the development and operations of innovative pilot programs at the Engagement Center.
• Manage referrals to Engagement Center programs, such as: Medical Legal Partnership, Recovery Coaches, Intensive Housing Case Management, and group programs.

• Documents all clinical work in a timely manner and provides the necessary documentation.
• Provides detailed sign out and information
• Ability to plan and run member groups
• Attends clinical team meetings and other mandatory educational sessions
• Conduct needs assessment while patient is still in Engagement Center to evaluate potential for area of need.
• Help support an interdisciplinary team of clinical personnel (e.g., NP, BH, RN, etc.), managing the logistics of the Engagement Center.
• Ability to build longitudinal relationships with patients, making them feel comfortable and supported and ensuring basic needs are being met
• Participates in orienting and training new employees as required
• Participates in quality assessment and quality improvement within CCA
• Participates in CPR and NARCAN trainings.
• Other duties as assigned.
• Attends external meetings and activities as a representative of the organization as requested

• Standard office conditions.

• Associate degree or equivalent experience

• Bachelor's degree preferred
• BA in Human Services preferred

• 2 Years
• Experience working as part of an interdisciplinary team.

• 2 years of experience in community-based outreach preferred *
• 2 years of direct experience in a healthcare or health plan environment, managed care preferred.

• Strong interpersonal and customer relations skills
• Effective teaching skills
• Ability to work with people from diverse backgrounds and experiences
• Knowledge regarding psychiatric rehab and understanding of recovery model
• Demonstrated computer literacy
• Sufficient visual/hearing ability, with or without reasonable accommodation, to comprehend written/verbal communication and perform assessments of patients