Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Heath is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a Community Outreach Coordinator Level 2 to support our Church Avenue location in Brooklyn, New York.

In conjunction with departmental staff, work towards retaining patients by contacting those in need of follow up. Engage patients so they are aware of you as a reliable face of the health centers that you serve. Identify patients who have been individually contacted but not yet converted to company patients and follow up with telephone or other communication as appropriate.

Essential Duties and Responsibilities:

• Participate in seeking, hiring, training, supervising, and developing new and existing outreach staff in SRH’ s catchment area as needed.
• Health Promoters: Organize volunteers to receive training from SRH to provide lay health education and outreach services to the community.
• Outreach to Medicaid non-utilizers: In conjunction with DSRIP PPS partners, reach out to SRH-assigned Medicaid non-utilizers over the phone and at their places of residence and engage in health education around the importance of having a medical home
• In reach and Outreach to Medicaid underutilzers: In conjunction with DSRIP PPS partners and SRH clinical staff, reach out to Medicaid under-utilizers that are SRH patients by calling on the phone and visiting their places of residence and engage in health education around the importance of having a medial home. Reach out to Medicaid under utilizers that are not SRH patients through phone calling and at-home visits
• Patient Activation Measure (PAM) with non-utilizers, underutilizes, and the uninsured: In conjunction with DSRIP PPS partners and SRH clinical staff, reach out to Medicaid non utilizers, understilizers, and the uninsured and perform the PAM survey. Refer patients completing PAM to appropriate services and provide appropriate health education.
• Tailored Coaching: Follow up with patients surveyed with the PAM with coaching that will increase the chances that a patient will move along the continuum of patient activation to more activation and self-management behaviors.
• Outreach to migrant and seasonal farm workers: In Coordination with other SRH Outreach staff, where applicable, perform outreach to area farms and farm camps to reach migrant and seasonal farm workers. Provide referral to SRH and the migrant voucher program
• Outreach to homeless: In coordination with other SRH outreach staff, perform outreach to area community meals, food pantries, shelters, and other locations where the homeless or near-homeless receive services in order to reach homeless who are potential patients. Provide referral to SRH. Provide referral to SRH.
• Outreach to residents of public housing: In coordination with other SRH outreach staff, where applicable, form partnerships with area Public Housing Authorities and perform outreach to area public housing projects in order to reach public housing residents.
• Interpretation: Once certified by SRH to be a competent to provide medical interpretation, in conjunction with SRH providers of healthcare, provide medical interpretations and assistance with forms to patients who express desire for such assistance.
• Health Education: Provide lay health education to patients on topics for which training has been received (SRH services, medical home, Type 2 Diabetes prevention, patient goal setting, planning for future care, etc.)
• Home Visits: In coordination with medical teams, reach out to patients lost to follow up through home visiting. Encourage patients to get back into care. Schedule appointments for patients as needed.
• Neighborhood canvassing: Canvass low income neighborhoods, particularly within walking distance of SRH sites to drop literature for prospective patients and engage patients at home in conversation about the availability of health care at SRH
• Referral to community resources: Become familiar with area resources and refer patients to needed sources of support
• Advocacy: Advocate on behalf of patients who need assistance getting bills paid, coming up with a payment plan, advocating with insurance, etc. Encourage patients to become advocates as part of SRH-defined advocacy campaigns.
• Meeting with peer organizations to describe SRH services: Arrange meetings at least annually with service providers to update leadership and line staff on available services at SRH. Supply area organizations with SRH outreach materials to be passed on to potential patients.
• Health insurance enrollment: With appropriate training, provide outreach and enrollment assistance into Qualified Health Plans, Medicaid, and Child Health Plus. Refer patients assisted to SRH.
• Document all activities, utilizing the SRH electronic brief encounter form whenever possible. For group activities where accessing individual information is not achievable, record information in SRH’s electronic community initiative form.

Minimum Education Requirement:

• High School Degree

Salary Range: $55,000.00 - $58,500.00 annually