Job Description

We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join Our Team! Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction. DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description: The Community Health Advocate (CHA) is responsible to support members and their social and health needs by helping them navigate and access community resources, services and medical systems. The Health Advocate will help members navigate the medical system when treatment is required and navigate the community when social services are required. The Health Advocate will be based in medical practices as part of the care team and will partner with medical providers and the community to provide intensive personal support to ensure that all health needs are met. Responsibilities and Duties Actively engages, builds rapport, establishes a trusting relationship and continuous candid communication with members and member family support systems Assesses social determinants of health needs for at-risk members and documents assessment results or augments available information in appropriate systems Consults with or refers members to licensed staff (social worker, nurse case manager etc.) as required based on member social, health risk and medical complexity Establishes relationships with and partners with community resources, health plans and providers by participating in local community engagement activities with local agencies e.g. faith based organizations, community centers, government agencies, parks, recreation centers and schools Assists members with problem-solving barriers to moderate health conditions by identifying, locating, connecting to and navigating needed community and medical system services including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services Using technology platforms identify outstanding patient quality of care gaps and work with patient to ensure gap closure (e.g. preventive care screenings) Determines social determinants of health concerns/ gaps, develops and documents a plan to address moderate social and health disparities Documents member activities and progress notes in appropriate systems and provides reports to management Actively participates as part of provider practice Interdisciplinary Team Meetings providing updates on member needs and progress Identifies gaps in community resources and medical systems and supports the implementation of new solutions or services to close identified gaps Performs other duties as assigned Qualifications and Skills Bachelor's degree in Social Work, Psychology, Biology, Public Health, Nursing, Community health or Health-allied field preferred, OR equivalent experience Experience working with people who need assistance with complex health and social issues Experience navigating health insurer and provider systems Experience navigating, interacting and linking patients with community resources and agencies such as faith based organizations, community centers, government agencies, parks, recreation centers and schools Knowledge of social work principles, techniques, practices, and their application Valid CA Driver's License and proof of auto insurance coverage required Bilingual or conversational in predominant secondary language of local community Knowledge of a wide range of psychosocial challenges Knowledge of family and group dynamics along with relevant intervention techniques Knowledge of state and federal laws, regulations and policies applicable to scope of practice Excellent written and verbal communication skills, must be able to communicate clearly and concisely with all levels of individuals, sometimes in stressful situations Must be flexible and able to adapt to changing patient and organizational priorities Must be able to work flexible hours including evenings and weekends as needed Additional Information: Salary: $75,000 - $97,000 Annual Hill Physicians is an Equal Opportunity Employer Hill Physicians Medical Group

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