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Hybrid Community Wellness Advocate

at Boston Medical Center (BMC)
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Posted last month

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About the role

  • Initiates face to face contact with eligible patients to describe role, explain participation benefits and begin screening process
  • Schedules and completes initial hospital, clinic, or community-based visit screening, care plan, and follow up visits and phone calls
  • Teaches key educational messages using culturally, linguistically and educationally appropriate strategies
  • Clearly documents all activities in the patient’s record and care management system
  • Participates in community outreach, presentations to community organizations, development of materials, and phone calls
  • Works with patients and providers to set goals and provides guidance to achieve those goals
  • Reinforces educational messages regarding disease self-management by linking clients with supportive community services and programs
  • Presents patients at case review meetings and consults with Nurse Care Manager, clinical staff, behavioral health teams and PCP
  • Functions within an interdisciplinary team connecting the patient with resources as needed
  • Records and monitors participants’ progress toward goals within specific timeframes and documents assessments in Epic system
  • Prepares reports and documents as needed or requested
  • Assists patients with organizing records, making follow-up appointments, attending appointments, and filling prescriptions
  • Helps patients fill out applications for Medical Assistance, Housing, and SNAP
  • Provides advocacy, patient education and warm hand offs to community-based and hospital-based programs
  • Assists patients in addressing barriers to concrete supports (healthcare, behavioral health, financial assistance, child-care, housing, utilities, food, entitlements, clothing, transportation, violence prevention, social isolation)
  • Coordinates with community-based long-term services and supports and may visit patients in hospital and ER to facilitate transitions of care
  • Provides intensive home and community-based outreach, motivational interviewing, goal setting, resource connection and accompaniment to medical appointments as needed
  • Establishes culturally appropriate and trusting relationships with patients and families
  • Participates in training, supervision and program meetings; develops and maintains strong relationships with community resources
  • NOTE: The CWA will not provide hands on care or other home health services (performance assessments, provision of care, treatment, counseling, or monitoring of patient’s health status)

Requirements

  • HS Diploma with community experiences or Bachelor’s degree
  • Driver’s license required
  • Must possess a valid driver's license and have vehicle transportation
  • Minimum of 2 years prior healthcare, public health, or community-based experience in community setting
  • Basic knowledge of healthcare system
  • Outstanding interpersonal skills to interact with families and patients
  • Interest in community health and outreach
  • Exceptional organizational skills; ability to multi-task and work independently and as part of a team
  • Demonstrated oral and written English communication skills
  • Fluency in Portuguese or Spanish preferable
  • Understanding of how language, culture and socioeconomic circumstances affect health
  • Desire to work with diverse, multi-cultural and multi-lingual populations
  • Proficiency with Microsoft Office applications (MS Word, Excel, Access, Outlook) and web browsers
  • Proficiency with data entry and data tracking
  • Must complete a background check (Electronic Employment Verification Program / E-Verify)
  • BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine

Benefits

  • This is a hybrid position, requiring both in person and telephonic work.
  • Flexibility for the Community Wellness Advocate (CWA) to work from home 1-2 days per week.
  • Business casual dress attire.
  • No weekends or major holidays (position is Monday-Friday business hours, 8:30am-4:30pm).
  • Strong sense of teamwork and support for our staff.
  • Participates in all training activities as designated by Community Wellness Manager (CWM).
  • BMC recognized as a top employer and best place to work.

Job title

Community Wellness Advocate

Job type

Full Time

Experience level

JuniorMid level

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

HybridBostonUnited States

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