Community Outreach Navigator

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers.

Position Overview

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that

Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come

to work being proud of what you do every day.

The Community Outreach Navigator under the direction of the ETE Senior Advisor plays a critical role in providing

support, guidance, and advocacy to individuals living with HIV. This role is primarily responsible for communitybased

engagement through home visits, health facility outreach, and collaboration with healthcare providers and

community partners to re-engage patients in care and improve health outcomes.

Work Shifts

9 : 00 A.M - 5 : 00 P.M

Duties & Responsibilities

• Conduct home, hospital, or community field visits to locate members who are lost to care or at risk of disengaging from care.
• Engage patients in their homes, community locations, or healthcare facilities to assess barriers to care and support re-engagement with primary care services including accompaniment to medical or non-medical appointments.
• Provide health coaching and motivational support to empower members in staying connected to HIV primary care and treatment.
• Collaborate with healthcare providers, care managers, and community organizations to coordinate services that address member needs.
• Schedule medical appointments, arrange transportation, and facilitate medication access to remove barriers to care.
• Track all medical, behavioral, and other referrals ensuring members attend appointments, through reminder calls and accompaniment when necessary.
• Monitor utilization including ER visits, hospitalization admission / discharge information, and behavioral health services to find opportunities for engagement with members.
• Document outreach efforts, patient interactions, and care coordination activities in the appropriate case management systems.
• Build trusting relationships with patients from diverse backgrounds using culturally sensitive and strengths-based approaches.
• Participate in case conferences, training sessions, and quality improvement initiatives.

Minimum Qualifications

Professional Competencies

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes :

#MHP50