Community Health Advocate

OUR VISION

To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time.

OUR MISSION

To provide access to equitable, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality comprehensive patient centered care.

OUR VALUE PROPOSITION

To provide whole person care that will ensure that all patients have access to primary, specialty and social health care to achieve and maintain optimal wellness at a transparent and affordable cost.

JOB TITLE: Community Health Advocate -Bilingual in Spanish

REPORTS TO: VP of Population Health

The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position.

POSITION SUMMARY:

The Community Health Advocate functions as a member of an interdisciplinary team to engage patients in self-care initiatives assess for barriers to care and to provide support to patients who need assistance in navigating the health care system. Advocates for and supports the client, engages with community agencies/health care providers and others on his behalf to ensure access to services needed to increase wellness self-management and reduce emergency room visits and/ or hospitalizations. Provides clinical support to the Team by providing consultation, education, information around psychosocial and/or substance abuse conditions, interventions, resources to maintain focus on outcomes and best practices.

RESPONSIBILITIES:

• Work with consumers and their families to provide services and supports consumers and their families.

• Conduct home visits at least monthly.

• Provide a health risk assessment to identify individuals who would benefit from supportive services for birth equity, social barrier support, and linkage to care.

• Provide linkage to community resources, enhanced social supports, within the community, including Childbirth classes or workshops

• Facilitate and assist with the development of a birth plan, and postpartum care plan Parenting classes or workshops (to be inclusive of all parents or caregivers); Doula support services; and/or Peer, or clinical support groups such as: Postpartum support; Breastfeeding/chest feeding classes/workshops or support; and/or Parent support.

• Provide clients with appropriate health information on relevant perinatal health topics using techniques such as teach back method, to ensure that clients understand information, are able to effectively communicate with healthcare and other service providers, empower clients to make informed healthcare decisions for themselves and their families, and adopt healthy behaviors.

• Provide patient engagement activities, educational programing, and printed/electronic resources for individuals of childbearing age which promote selfcare, self-advocacy, awareness of birthing rights, and ways to communicate healthcare/ and social needs in all settings.

• Increase access to early and consistent comprehensive prenatal and perinatal care, with particular emphasis on serving those individuals who are at high risk for poor birth outcomes.

• Reduce the impact of risky behaviors on birth outcomes, promote healthy behaviors and pre-conceptual health

• Connect individuals who are chronically ill with two or more conditions, HIV or Mental Illness and enrolled in Medicaid to Health Home Care Management Program. The health home program operated by Long Island FQHC, Inc. is similar to the PICHC program but focuses

• on individuals with chronic illness and provides similar services and support. If an individual would like to voluntarily access this program, we will still make all the additional services and supports and linkages that were available in the PICHC program available to them, plus the enhanced level of support a Health Home Care Manager provides.

• Monitor metrics of success including, Number of participants with entry to prenatal care during the first trimester of the pregnancy, Number of individuals who keep all scheduled prenatal visits or have appropriate follow up for missed appointments, birth weights of infants born to participants in the program, Number participants that engage in breastfeeding for the first 1 month, 3 months, 6 months and 1 yr. after delivery, and number of individuals with behavioral health conditions that are successfully linked to counseling and psychiatric services during and after delivery.

QUALIFICATIONS:

• HS diploma/GED required Bachelor's preferred in: Social Work, Psychology, Education, Rehabilitation, OT, Counseling, Community Mental Health, Sociology, etc.

• 2-4 years of related human services experience required in providing direct services to the underserved community of services essential to successfully living in the community, Peer with lived experience

• Excellent interpersonal skills required

• Bilingual Spanish required

• Ability and willingness to regularly travel with clients, to many locations using various modes of reliable and safe transportation. A valid driver's license is required.

SALARY: Commensurate with experience

MORE INFORMATION: This is a non-exempt position.