Population Health Resource Associate- HUB

Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.

General Description

The Population Health Resource Associate- Community Health Worker is responsible for the implementation and care coordination of comprehensive patient plans which support patient's recovery and management of their chronic health conditions. This position will act as a liaison between patients and important community partners and resources to ensure continuity of care. As a Community Health Worker, this position will assist patients and caregivers in navigating community resources to reduce barriers to care and improve health outcomes. This role may see patients in settings including but not limited to patient's home, medical clinic and community.

Duties and Responsibilities of this Level

Provide outreach and care management support to patients

Educate clients of available community resources

Ability to manage an active caseload while balancing multiple tasks

Review and update person centered care plans to measure progress an d patient outcomes

Ability to act as a collaborating memberof a multi-disciplinary team

Complete required documentation within the expected program timeframe

Ability to successfully navigate electronic medical records and document according to agency standards

Ability to meet productivity and performance expectations

High school degree o r equivalent, as well as strong communications andorganizational skills.

Work generally requires customer service experience through patient or public contact. Two years of experience with customer interactions via phone and marketing/communications preferred. Active user of electronic medical records software strongly preferred. An associate's degree or higher may be substituted for experience.

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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.