- Offer interpretation and translation services, provide culturally appropriate health education and information.
- Assist people get the care they need, by coordinating primary care services between the medical care provider team, and referrals for community social services.
- Offer informal counseling and guidance on health behaviors, advocate for individual and community health needs.
- Provide some direct services such as cholesterol, blood pressure, BMI, height, and weight, and glucose screenings.
- Conducts community presentations and organize health fair and promotional events.
- Implements group and or one-on-one chronic disease self-management educational sessions.
- Improved adherence to health recommendations by using Nextgen to track patient's progress toward meeting health goals.
- Offer community workshops and group discussions about chronic disease self-management prevention.
- Using communications and community engagement methods, facilitate awareness and education to diverse audiences through presentations, trainings, one-on-one meetings, networking, attending community events, media outreach and other engagement strategies.
- Regularly completes and presents reports on progress and outcomes to Community Relations, Outreach, and Eligibility Director.
- Provides information in a manner that is culturally and linguistically appropriate to the needs of the population being served; meets CLAS standards.
- Track and record engagement activities with database and other tracking tools.
- Collect and write success stories and engage in community outreach efforts.
Patient Care: Perform telephone and in-person chronic disease consultation for patient education. Facilitate chronic disease education classes. Prepare and assist patient with completing appropriate forms. Assist patients/healthcare providers to keep appointments as scheduled. Assist patients in completing forms for pharmacy assistance programs.Communication: Initiate written communication in response to healthcare provider's orders. Recognize and respond to verbal communication/healthcare provider orders. Demonstrate appropriate telephone techniques. Communicate healthcare provider orders to pharmacies, healthcare facilities, patients, etc. Maintain a current knowledge of office procedures, and chronic disease education information through review of memos, policy & procedures, established protocols, chronic disease training seminars, etc. Write routine reports and correspondence. Read and interpret documents such as safety rules, operation and maintenance instructions, procedure manuals, etc.Patient Instruction: Instruct individuals according to their needs. Instruct and demonstrate the use and care of patient equipment. Provide instruction for health maintenance and disease prevention. Identify community resources. Clarify and explain healthcare provider instructions when needed. Maintain instructional materials for patient use.Operational Functions: Perform an inventory of chronic disease education supplies. Maintain stock through appropriate ordering and disposal.Team Member Participation: Participating in planning, writing and updating chronic disease education curriculum and materials. Report on outside conferences attended. Serve on committees as needed or assigned. Ensure delivery of quality care services as assigned. Float to other sites as requested. Accomplish additional duties as requested or volunteering when the need is obvious.