Employment Type Full time Shift Day Shift Description Come join our newest program at Trinity Health Of New England! This is affiliated with our Medical Group Practices across the region. Licensed Practical Nurse (LPN) license required. Position Purpose The Clinically Integrated Network (CIN) Community Health Coach acts as liaison between patients and healthcare and other community services, assisting patients to advocate for healthcare and social needs. Part of a larger population health team who are collectively accountable for coordinating patient care, improving health outcomes and disease management. What You Will Do
- Manage a patient caseload and provides education, screening, brief intervention, and / or facilitation of referrals to providers and community-based organizations and programs
- Complete initial assessment for patients identified as rising risk or who have been referred for interventions
- Partner with the patient, family, and care team to reduce the impact of the social determinants of health and improve patient's participation in wellness
- Serve as local expert in navigating community services available
- Collaborate with care team members, including the Primary Care provider (PCP) and their clinical support staff, to understand patient risks and quality gaps in care. This may include visits to aligned primary care offices to meet patients and collaborate with PCP on referrals and support services. Minimum Qualifications
- Current active Licensed Practice Nurse license.
- Minimum three years experience in healthcare setting
- Community Health Worker Certificate highly desired, or experience with navigating or referring to local community resources a plus.
- Bilingual Spanish / English desirable. Position Highlights And Benefits
- Full time 40hr
- Great Benefits and Health Insurance Coverage—starting Day One! Ministry / Facility Information We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.