Community Resource Coordinator II
Job Detail
P osition Purpose:
Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate. Provides support to members to connect them to known community and care resources in a cost- effective manner
Supports the coordination of community outreach resources available to members and promotes awareness of care/services
Serves as support for members on community and care resource inquiries and opportunities available to members
Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection
Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support
Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
May make visits to individual homes and/or community organizations
Working Knowledge of Social Determinants of Health (SDOH) barriers
Performs other duties as assigned
Complies with all policies and standards
Education and Experience
• Requires a High School diploma or GED
• Requires 1 – 2 years of related experience
Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate. Provides support to members to connect them to known community and care resources in a cost- effective manner
Supports the coordination of community outreach resources available to members and promotes awareness of care/services
Serves as support for members on community and care resource inquiries and opportunities available to members
Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection
Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support
Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
May make visits to individual homes and/or community organizations
Working Knowledge of Social Determinants of Health (SDOH) barriers
Performs other duties as assigned
Complies with all policies and standards
Education and Experience
• Requires a High School diploma or GED
• Requires 1 – 2 years of related experience
Comments for Vendors: Source from Cook County
Field experience with member engagement for health screenings
Member case management from MCO experience
Access to a reliable vehicle with insurance, home office with consistent Wi-Fi connectivity
Home Visits
Making field appointments
Engaging members telephone to complete face to face engagement
Helping to close Cadis care gaps for controlling blood pressure, diabetic eye exams
Provide health education.
Directly assist members with completing screenings, lab, and follow up care that close Cadis gaps.
Metrics measured are outreach engage.