Community Health Advocate

Responsibilities Build trusted relationships with hard-to-reach and highest-needs patients Facilitate, support, troubleshoot, and conduct virtual primary care and behavioral health visits Conduct in-home assessments, record vital signs, document home environment and functional status, and administer screenings Support behavioral health visits by collecting vitals and administering screenings Identify and document social needs and navigate patients through social resources and insurance benefits Reinforce care-plan education, coach medication adherence and healthy behaviors, and track progress toward goals Help patients set goals, track behaviors, and overcome barriers through health coaching Follow up on referrals, appointments, and tests; manage delivery or pickup of home testing kits and devices Deliver supplies and equipment according to internal procedures Maintain accurate EHR documentation and provide consistent updates to the care team Accompany patients to clinical visits for preventive screening and gap closure Perform other duties as assigned Collaborate with physicians, nurses, behavioral health clinicians, community health workers, pharmacists, and urgent care providers Requirements Experience in a patient-facing role (e.g., Medical Assistant, Community Health Worker, Health Coach, EMT) Comfortable working independently in patients’ homes and communities, including with medically or socially complex populations Strong interpersonal skills and clear communication with patients and clinicians Basic clinical and technology proficiency, including vital sign collection, mobile apps, and video calls Valid unrestricted driver's license Access to an insured vehicle for daily use Ability to work in an assigned geographic area with variable drive times within the standard workday Medical Assistant (CMA) or Community Health Worker (CHW) certification, or 2+ years of experience in a healthcare setting (preferred) Experience with value-based care, home-based care, or virtual primary care models (preferred) Bilingual or multilingual fluency in Spanish or Arabic is a strong plus; additional U.S. language fluency is also a plus For patient-facing roles, compliance with medical clearance requirements, including TB screening and proof of immunity or vaccination for certain conditions Core Competencies Demonstrates expertise in patient engagement and care coordination, with a focus on virtual primary care and behavioral health. Proficient in vital sign collection, health coaching, and maintaining accurate EHR documentation while navigating social resources for patients. Highest-signal resume keywords Patient-Facing Experience Vital Sign Collection Health Coaching EHR Documentation Bilingual Fluency Hard Skills Vital Sign Collection Health Coaching EHR Documentation Home Assessments Behavioral Health Support Screening Administration Social Needs Identification Technology Proficiency Virtual Care Facilitation Medication Adherence Coaching Soft Skills Interpersonal Skills Clear Communication Independent Work Problem-Solving Collaboration Certifications & Qualifications Medical Assistant Certification (CMA) Community Health Worker Certification (CHW) Industry Keywords Value-Based Care Home-Based Care Virtual Primary Care Patient Navigation Healthcare Setting Experience Tools & Technologies Mobile Apps Video Call Technology #J-18808-Ljbffr Jobtailor