Outreach & Engagement Specialist

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The Outreach and Engagement Specialist provides outreach services to hard-to-reach populations. They are responsible for locating individuals who are in need of health home services. The Outreach and Engagement Specialist is responsible for assisting care coordinators with the following outcomes: Reduced utilization associated with avoidable and preventable inpatient stays; reduced utilization associated with avoidable emergency room visits; improved outcomes for person with mental health illness and/or substance use disorders; and improved disease-related care for chronic conditions. As part of the Essential Functions for this role, the Outreach and Engagement Specialist:

· Delivers outreach services to high risk populations who are in need of health home services

· Provides educational information to potential members in the form of brochures and other program literature that supports health home services; Represents the association at community events, (e.g.: health fairs, community outreach events, local charity events)

· Demonstrates working and/or developing knowledge of community resources

· Assists in the completion and review of all opening paperwork, including but not limited to: Client Consent Form, Client Bill of Rights, Member Information Sheet, Emergency Coverage Policy, HIPAA Notice of Privacy Practices, and HEALTHeLINK Consent form, and additional HARP forms

· Works with local emergency departments to identify, screen and enroll new health home clients

· Assists clients in identifying immediate needs and develops an immediate needs, patient-centered care plan

· Makes initial linkages and advocates with service providers based upon the immediate needs care plan, (e.g.:  medical provider, Department of Social Services)

· Conducts street-level outreach to targeted communities in order to identify and engage potential new members

· Represents the association at community events, (e.g.: health fairs, community outreach events, local charity events)

· Documents client specific outreach efforts in software systems; Utilizes data systems on an ongoing basis to identify new demographic information on potential clients

· Coordinates with community referral sources and/or managed care organizations to improve outreach efforts and successfully engage referred clients

· Links/refers clients to needed services to support care plan/treatment goals, including medical/behavioral healthcare, patient education and self-help/recovery and self-management

· Monitors/supports/accompanies clients to scheduled medical appointments    

Qualified Candidate will have Associate’s degree and one (1) year of experience with qualifying* experience OR an High School Diploma or Equivalent with two (2) years of qualifying* experience. Qualifying experience is verifiable experience working in care coordination/case management with the following populations: Persons with a chronic illness, and/or persons with a history of mental illness, homelessness, or chemical dependence. Candidate must be able to communicate clearly and professionally in writing and verbally (in person and via phone), and demonstrate proficiency with MS Office software (Outlook, Word). Candidate must demonstrate excellent organizational and time management skills, sound judgment in decision-making, keen attention to detail, and be able to work independently. Ability to multitask and attention to detail very important. Must be available to work flexible hours including days, evenings and/or weekends. Must be available to work a minimum of one (1) out of three (3) evening or weekend shifts. Must possess valid NYS driver license, insurance and dependable car to use for client services activities including transporting clients, when necessary. Sensitivity to HIV/AIDS and lifestyle issues is essential.

Job Type: Full-time

Required education: Associate (with 1 year experience) OR High School Diploma (with 2 years experience)

Required experience: Care Coordination, Case Management; Experience with the following populations: persons with a chronic illness and/or persons with a history of mental illness, homelessness, or chemical dependence (Experience with families preferred)

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