CANDIDATES MUST RESIDE IN SUSSEX COUNTY DELAWARE AND BE BILINGUAL IN SPANISH

Basic Function:

In an effort to improve health outcomes in a specific target population, works with community based organizations (CBOs) and their members to address their specific health needs (well woman care, immunizations, diabetes, etc.), identify social determinants of health (SDoH), and connect clients to resources and services. Engage their community members to reduce health disparities in underserved communities and improve the health of population increasing health knowledge and self-sufficiency. Assists in the delivery of culturally appropriate and community-based education for the specific target population including effective strategy for promoting prevention and better management of chronic conditions, well woman health, preventative care, health lifestyle management, and reproductive health. Collaborates with community based organizations to engage targeted community members, conduct social determinants of health assessments, engage in patient activation, and make appropriate referrals in order to meet persons identified needs. Collaborates with other assigned team members and organizations to provide direct, logistical, and administrative support for target populations. Documents outreach and engagements with CBOs and clients in accordance with compliance and security guidelines to ensure the security and safety of client data and information.

Organizational Relationships:

Reports directly to the Assistant Director of State Services 

Role and Responsibilities:

• Participates in planning and improving health services by interpreting social and cultural factors pertinent to State Contracts programs (Maternal Health, Immunizations, Cancer Screening, Pre Diabetes, Diabetes, Hypertension).
• Will assist with community outreach events at engaged Community Based Organizations (CBO). Travels for outreach events. Flexibility in schedule and ability to work some evenings and weekends as needed.
• Utilize effective communication and interpersonal skills, cultural competency, and motivational interviewing to engage and retain clients to help them achieve their goals, reducing the impacts of SDoH and improving health outcomes
• Will engage targeted community members in health discussions and screenings for SDoH. 
• Reviews results and makes referrals to resources to address identified SDoH. Refers individuals to appropriate health care resources, such as health screenings, health care information, and social services.
• Follows up with patients and referral agencies to ensure services were rendered. Contacts referral organizations on member engagement.
• Leads a healthy lifestyle and serves as a positive role model within communities served.
• Motivates members of the community to be an active engaged participant in their health
• Takes primary responsibility for all data collection and entry required for internal project processes.
• Provides technical assistance to others internal and external to the organization in using and evaluating the effectiveness of specific intervention approaches.
• Other duties as assigned.

Supervisory Responsibilities:

None

Skills/Professional Competencies Required:

• Ability to work collaboratively in team environment, maintaining effective working relationships with all team members, including staff throughout Quality Insights.
• Ability to effectively communicate the importance of wellness and self-care at all stages of life
• Is a trusted member of the community with a passion for improving health
• Has good verbal communication skills and an engaging disposition especially with the targeted populations
• Ability to comfortably interact with diverse populations
• Ability to be compassionate and non-judgmental with community members
• Working knowledge of community resources in project-designated communities.
• Ability to organize, support, and implement project activities.
• Ability to work with broad array community-based organizations. Ability to work independently, knowing how to seek and use supervision while carrying out a range of complex projects.
• Ability to recognize when to improve needed skills through research, supervision, formal training; has to be a quick and motivated learner.
• Aptitude to learn various aspects of healthcare and social services
• Utilize a computer, tablet, and/or phone with appropriate and secure access to databases and web based platforms required by project. Perform accurate and complete project documentation in database and platforms daily.
• Moderate proficiency with computers and technology; MS Office (Outlook, Excel, Powerpoint), virtual platforms (Zoom), and mobile devices.

Minimum Education/Training Required:

High school graduate. 

Minimum Experience Required:

Two years of experience in a health-related field, with preferred experience engaging targeted patient populations in wellness initiatives.

Substitution(s):

N/A

Licensure/Certification Requirements (including continuing education requirements):

None

Security Level:

Low

Working Conditions and Physical Requirements:

The physical demands marked below are representative of those that will be required to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The environmental conditions marked below are common to this job: