Community Network Coordinator

Company Overview:

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals because we know that health requires care for the whole person. Its no wonder 98% of patients report being fully satisfied with Upward Health!

Job Title & Role Description:

The Community Network Coordinator (CNC) plays a key role in advancing Upward Healths mission to bring healthcare home. This position is responsible for identifying and connecting patients to Community-Based Organizations (CBOs) that address social determinants of health such as education, housing, transportation, and nutritional support. The CNC will maintain relationships with local CBOs, ensuring that patients have access to the services they need as part of their whole-health journey. The CNC serves as a bridge between clinical care and community resources, advocating for patients and collaborating with care teams to close support gaps.

Skills Required:

• Experience working with or in Community-Based Organizations (CBOs), understanding the services they provide to address social determinants of health.


• Strong interpersonal skills with the ability to form and maintain relationships with diverse community organizations and clinical teams.


• Ability to coordinate efforts across multiple teams, including clinical and non-clinical staff, to ensure comprehensive care for patients.


• Excellent verbal and written communication skills, capable of adapting communication style to different audiences and ensuring clear, consistent messaging.


• Experience working with individuals from diverse backgrounds and communities, demonstrating cultural sensitivity and adapting language as needed.


• Strong organizational skills to manage multiple responsibilities and schedules, ensuring timely connections with community resources.


• Ability to think quickly and respond to patient needs by identifying appropriate community resources and overcoming obstacles.

Key Behaviors:

Collaboration & Partnership:

• Demonstrates a strong ability to work with clinical teams, external CBOs, and community partners to meet the needs of patients.

Empathy & Advocacy:

• Advocates for patients by understanding their unique social and health challenges and connecting them with resources that will improve their health outcomes.

Cultural Sensitivity:

• Approaches work with an understanding of and respect for cultural diversity, adapting communication and engagement strategies to fit the needs of patients and community organizations.

Adaptability & Flexibility:

• Willing to adjust to changing needs or patient circumstances, maintaining flexibility in response to varying community and clinical demands.

Commitment to Excellence:

• Consistently strives to provide the best possible service to patients by maintaining knowledge of available resources and proactively addressing challenges.

Competencies:

Networking & Resource Management:

• Expertise in identifying, cultivating, and managing relationships with community organizations to create a robust network of services for patients.

Patient-Centered Care:

• Strong focus on connecting patients with the appropriate resources to address their social determinants of health and support their overall well-being.

Data-Driven Decision Making:

• Ability to track and assess patient needs and program effectiveness, ensuring that resources are being used appropriately to support health outcomes.

Communication & Advocacy:

• Skilled at clearly communicating the needs of patients to CBOs, and ensuring that clinical teams are informed of available resources.

Operational Coordination:

• Efficiently manages complex schedules and rapidly changing demands, ensuring timely service delivery to patients.

Cultural Competence:

• Demonstrates the ability to interact effectively with individuals from a variety of cultural, social, and economic backgrounds.

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

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