Community Liaison jobs at CRI Foster Care

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services- all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology. The Community Outreach Specialist focuses on Cancer Outreach activities in the community as it relates to specific programs such as smoking cessation, and early detection programs for Prostrate, Colorectal and breast cancer. Responsibilities include but, are not limited to: * Builds and maintains strategic community partnerships to assist with the growth of cancer outreach programs including: Smoking cessation, Early Detection program, Prostrate, Colorectal and Breast Cancer prevention. * Coordinates cancer community education programs such as schedules cancer screenings, provides education on early detection. * Focuses on Health Disparities such as gathering data and conducting data analysis to determine health needs in the communities. * Develops and implements culturally competent services and education to meet the population-specific needs. Education: * High school diploma or equivalent. Experience: * A minimum of Three (3) or more years of healthcare setting in a customer service-related position required. * 1 to 3 years of experience in oncology care preferred We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Education: · High school diploma or equivalent. Experience: · A minimum of Three (3) or more years of healthcare setting in a customer service-related position required. · 1 to 3 years of experience in oncology care preferred We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common\: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services- all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology. The Community Outreach Specialist focuses on Cancer Outreach activities in the community as it relates to specific programs such as smoking cessation, and early detection programs for Prostrate, Colorectal and breast cancer. Responsibilities include but, are not limited to: · Builds and maintains strategic community partnerships to assist with the growth of cancer outreach programs including: Smoking cessation, Early Detection program, Prostrate, Colorectal and Breast Cancer prevention. · Coordinates cancer community education programs such as schedules cancer screenings, provides education on early detection. · Focuses on Health Disparities such as gathering data and conducting data analysis to determine health needs in the communities. · Develops and implements culturally competent services and education to meet the population-specific needs.

Care New England is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) for a Consultation-Liaison position at Kent Hospital in Warwick, RI. Details include: BC PHMNP 359 bed academically affiliated acute care facility, annual ED volume 60K 100% inpatient: initial psychiatric consultations and follow up in the ED and hospital units Average number of consults: 10 Weekend coverage Collaborative, collegial department, LICSWs and PCNS EPIC RI license Federal DEA, Controlled Substance For further information, please contact Nicole Murray ****************** Kent Hospital, the second largest hospital ( 359 Beds) in Rhode Island and a Designated Baby-Friendly USA hospital, provides the spectrum of primary and acute care services, including cardiology enhanced by a clinical affiliation with Brigham and Women s Hospital; a MBSAQIP-Accredited Comprehensive weight loss surgery center; Emergency Department with rapid assessment; the Breast Health Center at Kent, a collaboration with Women & Infants Hospital; The Spaulding Rehabilitation Center at Kent, offering inpatient and outpatient rehabilitation; the state s only 24-hour emergency hyperbaric oxygen facility; a CARF-accredited stroke center; and an ambulatory surgery center. Care New England is a nonprofit hospital system affiliated with the Warren Alpert Medical School of Brown University and University of New England College of Osteopathic Medicine. We provide the full range of wellness, primary care, medical and surgical services, and home care including specialty hospitals in psychiatry, women, and newborn care. Teaching programs include family medicine, internal medicine, psychiatry, obstetrics and gynecology, emergency medicine, gastroenterology, and many more!

CLEAR (Community and Law Enforcement for Addiction Recovery) is a grant-funded initiative of the Federal COSSUP Program (Comprehensive Opioid and Stimulant Use Program). Liberation Programs operates the Fairfield County arm of the Statewide CLEAR Initiative, serving vulnerable adults and their families struggling with substance use and identified by law enforcement, emergency services, hospitals, and other community partners in Norwalk, Bridgeport, Greenwich, and Stamford. Contracted by DMHAS to deliver the CLEAR Project, Liberation Programs works across jurisdictions to connect those most at risk of overdose with appropriate supports and services. The Family Outreach Specialist provides dedicated, trauma-informed support and case management to family members of individuals at risk of or recovering from overdose. The position offers family engagement, grief and crisis support, and care coordination using a harm reduction and culturally responsive lens. The Specialist supports family members by facilitating access to treatment, education, housing, and other wraparound resources and collaborates with school systems to implement trauma-informed strategies for youth affected by parental or caregiver substance use. This role works closely with Outreach Specialists, the CLEAR Social Worker, and the Hospital Liaison/Systems Integration Manager to ensure that family voices and needs are centered in the overall care plan. The position is grant-funded and limited to the term of the award. Major Duties and Responsibilities Provide case management, grief support, and trauma-informed care to family members of individuals identified through CLEAR. Engage families through non-judgmental communication using motivational interviewing techniques. Accompany Outreach Specialists during coordinated Overdose Response Follow-Up Visits. Coordinate and participate in community outreach and events that provide education, recovery resources, harm reduction supplies, and overdose prevention tools. Partner with schools through the Handle with Care initiative to ensure trauma-informed responses are implemented for children impacted by substance use at home. Support families in accessing education-related services (e.g., attending IEP meetings), children's health care, and developmental services. Document consistently in Cordata and maintain shared care planning across the CLEAR team. Assist families in navigating services including detox/treatment, housing, primary and mental health care, benefits enrollment, and legal support. Provide direct support such as transportation assistance, appointment coordination, and referrals to sober support, education, and employment programs. Maintain strong communication with the CLEAR Site Lead and Social Worker to ensure seamless service integration. Monitor incoming referrals via Cordata and respond promptly to new family support cases. Participate in training, data entry, and reporting activities as required by DPH and DMHAS. Maintain professional boundaries and adhere to harm reduction values and cultural humility. Skills / Experience Required At least one year of experience working with individuals impacted by substance use disorder (SUD) or Serious Mental Illness (SMI), or equivalent lived experience. Demonstrated understanding of and commitment to harm reduction principles and trauma-informed care. Excellent communication and motivational interview skills. Strong knowledge of community resources and recovery-oriented systems of care. Cultural responsiveness, with the ability to work respectfully with individuals and families from diverse backgrounds. Bilingual (English/Spanish) strongly preferred. Experience providing case management, system navigation, and family-centered support. Familiarity with recovery pathways, including medication-assisted treatment, 12-step, and non-traditional models. Ability to maintain accurate documentation and contribute to collaborative care planning. Valid CT driver's license and comfort driving outreach van. I am willing to attend events and assist with overdose response outreach. Commitment to serving families in a manner that promotes dignity, autonomy, and emotional safety. What We Offer Competition Compensation Comprehensive Benefits Generous Paid Time Off Tuition Reimbursement Referral Bonuses 401K FSA HSA Employee Assistance Program

Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Days Work schedule: Saturday and Sunday; 6-8 hours during 1st shift. Shift differentials may apply. Case Management or Rehab experience, preferred. Job Summary: The Rehab Admissions Liaison coordinates the point of entry to the post-acute programs which includes evaluating all patients for medical appropriateness and medical necessity. This position interacts with and educates patients, families, case managers, payers, and physicians. Responsible for receiving and processing referrals for post-acute services, verification of benefits for services either directly or by forwarding to intake office and completing thorough admission assessments. This position works closely with medical directors/ physicians on both marketing and census development which includes onsite and community evaluations at other institutions. This position assures that comprehensive preadmission screenings are documented, required documents are obtained, as required by Medicare as well as other regulatory bodies. Minimum Education: Graduate of an accredited Respiratory Care, Occupational Therapy, or Physical Therapy Assistant program; or has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing or holds or is entitled to hold a diploma or degree therefrom; or master's degree in social work. Licensure, Registration and/or Certification: Valid Oklahoma Provisional / Respiratory Care Practitioner License (RCP) or temporary letter to practice issued by the Oklahoma Medical Board. Certified / Registered Respiratory Therapist (CRT/RRT) credential through the National Board of Respiratory Care (NBRC), or valid State of Oklahoma Licensure in Occupational or Physical Therapy Assistant; or Valid multi-state or State of Oklahoma Registered Nurse license; or State of Oklahoma Social Work license. Work Experience: Minimum 3 years of related experience. Knowledge, Skills and Abilities: Knowledge of post-acute services required. Knowledge of PC and Software skills, to include MS Word and Excel. Must be detail oriented. Good interpersonal skills. Knowledge of third party payer reimbursement. Must have good judgement and professionalism and be capable of representing post-acute services as a professional. Ability to handle complex situations with public as well as physicians and insurance companies. Essential Functions and Responsibilities: Utilizes knowledge of post-acute diagnosis as well as admission criteria to perform clinical assessments and determine appropriateness of admission. Obtains financial verification of patient insurance benefits/coverage directly or through the intake office as part of the preadmission screening process. Collaborates effectively with funding sources to maximize patient benefits. Utilizes all available resources of information including patient, family, medical record, other health care professionals to properly evaluate appropriate post-acute level of care need. Acts as a resource to case management for patients requiring post-acute services. Processes all referrals in a timely manner and provides timely communication to referral sources on determination of level of care qualification. Attends case management staff and daily meetings, unit bed huddles, discharge meetings, long stay meetings and other related meetings as required. Communicates and documents assessment findings with the appropriate team members to facilitate continuity of care, Participates in external marketing of program to community and other health care institutions to maintain budgeted census, targeted growth and measures of success for fiscal year. Assists with tracking admissions and denials including reports to determine trends in referrals and opportunities for business development. Maintains current on changes in post-acute services including but not limited to criteria, reimbursement, legislation and Medicare initiatives. Educates patients, families, physicians and other health care professionals regarding benefits of post-acute programs and criteria used to determine admission and coordinates smooth transition for those patients admitted. Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established. Working Relationship: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal/external customers. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Rehabilitation Administration - Yale Campus Location: Tulsa, Oklahoma 74136 EOE Protected Veterans/Disability

Job Summary: As part of a grant-funded initiative, the Community Health Worker will support the community-based support services program. The Community Health Worker plays a critical role in assessing patient needs, offering community resources and referrals, providing navigation, support, care coordination, and ongoing case management to meet those needs. May visits patients in their homes and in the communities in which they live when necessary, providing culturally sensitive approaches to health information to improve health literacy. The Community Health Worker facilitates the patients decision-making and self-management to help patients engage in their overall health and achieve their health goals. This individual will be responsible for tracking patient-related activities, monitoring and documenting progress. Works collaboratively with the Patient Experience team to promote patient-centered care and actively participates in multidisciplinary patient-centered team meetings. The Community Health Worker has frequent contact with community partners and agencies on behalf of the patients served, networking and collaborating on resource identification to improve the overall health of the population. Specifications: High School or GED Required; Associate's Degree Preferred. Minimum 1 to 3 Years of experience. Community Health Worker Certification Required (or must be working towards obtaining certification within 12 months of hire). Experience working with primary care providers or in other healthcare settings. Experience working with patients regarding managing their health, navigating systems, providing care coordination and health coaching is preferred. The ability to travel to various locations in the state and reliable transportation is required. Must possess a valid, current state issued drivers license, have reliable transportation and proof of current auto insurance required. Ability to speak a second language, Spanish preferred. Selected candidates will receive training specific to birthing people to enhance their skills. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nations top specialty trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case by case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

The WWHEZ Community Health Worker (CHW) is a peer who has experience in navigating Rhode Island's health system for themselves, a family member or through previous employment. This CHW will work with the Housing First Program, addressing the Social Determinants of Health for individuals who are currently experiencing housing instability. The CHW will be a critical part of a community outreach team providing support, resources, education and referrals. CHWs will engage with consumers in community settings providing person centered, culturally sensitive support, and building on the values, strengths and preferences of the patient. The CHW will also serve as an effective role model and mentor. ESSENTIAL RESPONSIBILITIES/TASKS Become knowledgeable of the Principles of Housing First evidenced based practice (training provided) and the practices of the housing First RI Program, as well as harm reduction and trauma-informed care. Assist residents of West Warwick who are high risk and underserved by addressing Social Determinants of Health (SDOH) as they related to Housing and COVID-19 health disparities Review and educate self and consumers on various benefits and resources that will work to assist the individual in gaining a greater quality of life. Assist the consumer in completion and submission of enrollment or benefit applications. Refer consumers to other services and public or private agencies for additional supports as needed. Utilizing motivational interviewing skills and culturally sensitive methods to collaborate with patients to explore preferred post-discharge supports and identify social determinants of health and/or areas of need within their community environment. Review care options including natural supports, home care services, medical equipment, adult day health programs, senior centers and assisted living communities. Maintain current on information about statewide housing services ranging from shelters, subsidized apartments and housing programs. Be familiar with Homeless service providers, resources for individuals who are homeless and be familiar with common places clients, who are homeless, are regularly found. Attend and complete Community Health Worker trainings as required by the grant. Maintain timely, accurate records, documentation, and reports as required. Actively participate and complete training and professional development activities. Assist in statewide system analysis, planning and coordination with state agencies, state and local boards, community-based organizations, and community rehabilitation programs. Schedule and maintain client hours sufficient to achieve individual / program billing targets. Participate in team meetings to ensure smooth coordination of client services and treatment. Participate in regular supervision with supervisor. Provide crisis intervention and transport to BHLink and Hospitals as needed. Be willing to actively outreach engagement-challenged individuals out in the community. Accompany client to community appointments to assist them in successful completion of appointments and provide advocacy as needed. Assist in coordination and oversight of client's physical healthcare and needs. Review e-mail account daily for new messages, remain in contact with the team throughout the work day. Accept other duties and responsibilities as assigned. KNOWLEDGE, SKILLS & ABILITIES: Ability to demonstrate sensitivity towards, relate to, form trusting connections with, and motivate consumers as a peer mentor and to address barriers to care, health and wellness Knowledge of Rhode Island health systems, terminology, supports, and services Demonstrated ability and skill to work collaboratively with co-workers, consumers, families, service providers, and health plans, etc. Skilled and/or willingness to learn and initiate motivational interviewing techniques with consumers Demonstrated prior success in accessing community-based resources in Rhode Island Strong written and oral communication skills Excellent organizational skills to manage multiple priorities and tasks Demonstrated proficiency with Microsoft Office/computer skills to enter data, prepare reports and correspondence EDUCATION AND/OR EXPERIENCE: High School diploma or GED Attained or working towards a bachelor's degree, or a combination of education, experience, and skills to effectively carry out responsibilities and assignments Personal experience navigating state and community services and programs on behalf of self or a family member Previous experience supporting families or individuals with special care needs or disabilities or families or individuals accessing health programs and services Demonstrated ability to work both independently and as an effective team member Demonstrated experience working with diverse populations A combination of education and experience demonstrating acquisition of the skills and abilities required CERTIFICATIONS, LICENSES, REGISTRATIONS: Valid driver's license and automobile insurance which meets Rhode Island minimum standards required, or the ability to obtain necessary transportation in order to perform the responsibilities/tasks of the job. Case Management /Community Support Professional Certification or working toward required. Community Health Workers certification preferred; non-certified incumbents are expected to earn certification within 18 months of hire date.

The Community Health Worker is a member of the Community Health Team and acts as link to community-based organizations to facilitate patient access to health/social services. Requirements: Associates or Bachelor's degree in a social science, research or public health-related field preferred. High School diploma and a combination of training and skills to effectively carry out responsibilities and assignments (such as previous experience working with patients in a community-based setting). Community Health Worker Certification required Experience with accessing social service resources, healthcare navigation, or case management preferred. Working knowledge of Microsoft Windows Operating System and Microsoft Word required. Experience working with patients regarding managing their health, navigating systems, and providing care coordination is preferred.

The Community Health Worker is a member of the Community Health Team and acts as link to community-based organizations to facilitate patient access to health/social services. Requirements: Associates or Bachelor's degree in a social science, research or public health-related field preferred. High School diploma and a combination of training and skills to effectively carry out responsibilities and assignments (such as previous experience working with patients in a community-based setting). Community Health Worker Certification required Experience with accessing social service resources, healthcare navigation, or case management preferred. Working knowledge of Microsoft Windows Operating System and Microsoft Word required. Experience working with patients regarding managing their health, navigating systems, and providing care coordination is preferred. M-F 8-5PM

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients. Under the supervision of the Program Director, provides community service navigation for Family Bridge families. Responsibilities may include engaging patients, and families and helping individuals navigate and access community services, and resources. The Community Health Worker will provide education and advocacy to assist individuals with accessing services. The Community Health Worker must demonstrate a commitment to providing support to families in medically underserved communities and must demonstrate outstanding customer service and the key behaviors, outlined in the Yale-New Haven Hospital core success factors and standards of professional behavior. The Community Health Worker will be providing services in a home setting, so comfort with autonomy and home visiting is a must. EEO/AA/Disability/Veteran Responsibilities * 1. Engages individuals during street/community outreach. * 2. Provides education on healthy behaviors during street outreach, advocacy, referral, and support. * 3. Encourages healthy lifestyles for individuals, families, and communities through health promotions, outreach, and marketing. * 4. Inform individuals and families about resources that they would benefit from receiving, refer to resources that they might be eligible to receive, and assist with navigation of the process. * 5. Assists clients in accessing health-related services, including but not limited to obtaining a medical home, providing instruction on the appropriate use of the medical home, and overcoming barriers to obtaining needed medical care and/or social services. * 6. Coach and assist patients with MyChart sign up. * 7. Continuously expands knowledge and understanding of community resources and services. Facilitates client access to community resources, including locating housing, food, clothing, financial assistance resources, providers to teach life skills, and relevant mental health services. Assists clients in utilizing community services, including scheduling appointments with social services agencies and assisting with the completion of applications for programs for which they may be eligible. * 8. Travels extensively to, outreach destinations, various agencies, and other community locations. * 9. Provides patient reminder calls and follow up calls for all appointments and /or referrals to community resources. * 10. Documents all client interactions in an electronic database with accurate notes indicating interactions with patients, documentation may include face-to-face visits, telephone communication, action plans, and letters mailed. * 11. Maintains records of coordination of care, outreach, patient support, and/or care management activities for reporting and tracking purposes and completes all documentation. * 12. Attends and is prepared for scheduled supervision, team meetings, staff meetings, or rounds. * 13. Seeks additional supervision or consultation as needed and follows through with supervisory directives. * 14. Builds and maintains positive working relations with clients, providers, and agency representatives as appropriate to ensure each patient receives comprehensive service. * 15. Ability to work collaboratively and effectively with the care team to include patient navigators and clinical staff. Qualifications EDUCATION High School diploma/GED Required. College degree preferred. Excellent organizational skills and attention to detail. Bilingual Spanish/other strongly preferred. EXPERIENCE A minimum of 1-3 years' experience preferably in health care, human service setting, or customer service. Must have a valid driver's license and reliable transportation. Home visiting experience preferred. Experience with Epic preferred. LICENSURE Community Health Worker Certification preferred or able to complete within one year of hire. SPECIAL SKILLS Bi-lingual candidates are preferred. Valid driver's license needed PHYSICAL DEMAND Ability to lift 10-15lbs YNHHS Requisition ID 163493

Job Description Join a Team That Makes a Difference at Optimus Health Care! Are you passionate about providing high-quality, patient-centered care? Optimus Health Care-the largest provider of primary health care services in Fairfield County-is looking for dedicated professionals to join our team! With multiple locations in Bridgeport, Stratford, and Stamford, our mission is to be a lifelong health care partner, dedicated to achieving optimal wellness for the communities we serve. Optimus is looking to add a BH Community Health Worker to join our Promoting Integrated Care team ( PIC). The PIC CHW will be based out of East Main OB/GN department. This role is 100 % grant funded. Working knowledge of Spanish is strongly preferred. The PIC Community Health Worker works closely with medical and behavioral health care teams; fellow Optimus sites CHWs, and social services agencies to provide care coordination, connection to resources and support to improve clients' health and general well-being. Works in both clinical and community-based settings. Under the supervision of the PIC Program Director, they assess and provide interventions to aid patients to cope with social, emotional, economic, and environmental problems. ESSENTIAL FUNCTIONS & RESPONSIBILITIES 1. Completes social determinants of health assessments, person-centered recovery action plans oriented to the client's cultural background including gender identity/sexual orientation. Work with teams to create a trauma informed environment for patients. 2. Provides behavioral health resources and interventions when needed (ex: providing breathing exercises for anxiety or sleep hygiene suggestions) 3. Schedules and behavioral health screenings, face-to-face whenever possible and clinically appropriate. Supports safe transitions of care for members moving between care settings. 4. Works with primary care providers and other CHWs to facilitate referrals to behavioral health department, works with patients to increase compliance with attending intakes, appointments and assists decreasing barriers to participation. 5. Assists clients in the clinic setting. Continuously identifies and resolves barriers to meeting goals and complying with the Individual Recovery Plan and reports barriers identified to the PIC Program Manager. 6. Documents all client encounters and care coordination efforts made on behalf of clients; maintains comprehensive electronic client files in a consistent and timely fashion. 7. Works with PIC team to provide accurate data collection for program reports as well as Optimus team-based care reporting needs. 8. Coaches and facilitates communications with clients in effective management of self-care. Assists clients in understanding care plans and instructions. Motivates clients to be active and engaged participants in their health and overall well-being. 9. May provide support and advocacy during medical and behavioral health visits or when necessary to guarantee clients' behavioral health and medical needs are being conveyed. Follows up with both clients and providers regarding action plans. 10. CHW will be held accountable and assessed by targeted measures from the PIC Grant. 11. Facilitates client access to community resources, including housing, food, and clothing assistance, transportation, parenting, providers to teach life skills, vocational, educational resources, and relevant mental health services. Assists clients in utilizing community services, facilitating appointments with community services agencies as well as with completion of applications for programs for which they may be eligible. 12. Works collaboratively and effectively within the care team. Establishes positive, supportive relationships with participants and provides feedback to other members of the team. Builds and maintains positive working relationships with the clients, providers, nurse case managers, agency representatives, supervisors, and office staff. Works to reduce cultural and socio-economic barriers between clients and agencies. 13. Travels as needed to community locations, various agencies, and other outreach destinations. 14. Attend meetings as scheduled or as requested. 15. Participate in supervision with supervisor as required. 16. Performs other duties as assigned. ADDITIONAL GENERAL REQUIREMENTS Professional, positive attitude, understanding of customer service principals, intuitiveness, trustworthiness, and excellent interpersonal skills to successfully accomplish tasks necessary to meet high standards of ethical and social responsibility required by this position. Knowledge of some medical terminology preferred. Ability to understand the needs of the community to be served. Must have knowledge of the various services available in the community. Ability and willingness to provide emotional support, encouragement, and patient empowerment. Ability to type into an electronic health record. JOB QUALIFICATIONS/REQUIREMENTS EDUCATION: High School Diploma required. Bachelor's degree in social services preferred. EXPERIENCE: Previous experience in working with community-based programs for persons with behavioral health diagnoses. Preferred: Applicant has a well-developed understanding of chronic disease and its impact on behavioral/mental health treatment. Experience working with an ethnically, culturally, and racially diverse office staff and patient population. COMMUNICATION SKILLS: Excellent interpersonal skills required including, but not limited to appropriate email etiquette, active listening, and thorough revision of all written assignments. LICENSURE / CERTIFICATION: Certification of Community Health Worker preferred. Working for Optimus: • OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function. • 100% Outpatient Setting * Excellent health & welfare benefit options • Competitive Compensation • Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment. Optimus is committed to providing equal employment opportunities to all applicants and employees

Join a Team That Makes a Difference at Optimus Health Care! Are you passionate about providing high-quality, patient-centered care? Optimus Health Care-the largest provider of primary health care services in Fairfield County-is looking for dedicated professionals to join our team! With multiple locations in Bridgeport, Stratford, and Stamford, our mission is to be a lifelong health care partner, dedicated to achieving optimal wellness for the communities we serve. Optimus is looking to add a BH Community Health Worker to join our Promoting Integrated Care team ( PIC). The PIC CHW will be based out of East Main OB/GN department. This role is 100 % grant funded. Working knowledge of Spanish is strongly preferred. The PIC Community Health Worker works closely with medical and behavioral health care teams; fellow Optimus sites CHWs, and social services agencies to provide care coordination, connection to resources and support to improve clients' health and general well-being. Works in both clinical and community-based settings. Under the supervision of the PIC Program Director, they assess and provide interventions to aid patients to cope with social, emotional, economic, and environmental problems. ESSENTIAL FUNCTIONS & RESPONSIBILITIES 1. Completes social determinants of health assessments, person-centered recovery action plans oriented to the client's cultural background including gender identity/sexual orientation. Work with teams to create a trauma informed environment for patients. 2. Provides behavioral health resources and interventions when needed (ex: providing breathing exercises for anxiety or sleep hygiene suggestions) 3. Schedules and behavioral health screenings, face-to-face whenever possible and clinically appropriate. Supports safe transitions of care for members moving between care settings. 4. Works with primary care providers and other CHWs to facilitate referrals to behavioral health department, works with patients to increase compliance with attending intakes, appointments and assists decreasing barriers to participation. 5. Assists clients in the clinic setting. Continuously identifies and resolves barriers to meeting goals and complying with the Individual Recovery Plan and reports barriers identified to the PIC Program Manager. 6. Documents all client encounters and care coordination efforts made on behalf of clients; maintains comprehensive electronic client files in a consistent and timely fashion. 7. Works with PIC team to provide accurate data collection for program reports as well as Optimus team-based care reporting needs. 8. Coaches and facilitates communications with clients in effective management of self-care. Assists clients in understanding care plans and instructions. Motivates clients to be active and engaged participants in their health and overall well-being. 9. May provide support and advocacy during medical and behavioral health visits or when necessary to guarantee clients' behavioral health and medical needs are being conveyed. Follows up with both clients and providers regarding action plans. 10. CHW will be held accountable and assessed by targeted measures from the PIC Grant. 11. Facilitates client access to community resources, including housing, food, and clothing assistance, transportation, parenting, providers to teach life skills, vocational, educational resources, and relevant mental health services. Assists clients in utilizing community services, facilitating appointments with community services agencies as well as with completion of applications for programs for which they may be eligible. 12. Works collaboratively and effectively within the care team. Establishes positive, supportive relationships with participants and provides feedback to other members of the team. Builds and maintains positive working relationships with the clients, providers, nurse case managers, agency representatives, supervisors, and office staff. Works to reduce cultural and socio-economic barriers between clients and agencies. 13. Travels as needed to community locations, various agencies, and other outreach destinations. 14. Attend meetings as scheduled or as requested. 15. Participate in supervision with supervisor as required. 16. Performs other duties as assigned. ADDITIONAL GENERAL REQUIREMENTS Professional, positive attitude, understanding of customer service principals, intuitiveness, trustworthiness, and excellent interpersonal skills to successfully accomplish tasks necessary to meet high standards of ethical and social responsibility required by this position. Knowledge of some medical terminology preferred. Ability to understand the needs of the community to be served. Must have knowledge of the various services available in the community. Ability and willingness to provide emotional support, encouragement, and patient empowerment. Ability to type into an electronic health record. JOB QUALIFICATIONS/REQUIREMENTS EDUCATION: High School Diploma required. Bachelor's degree in social services preferred. EXPERIENCE: Previous experience in working with community-based programs for persons with behavioral health diagnoses. Preferred: Applicant has a well-developed understanding of chronic disease and its impact on behavioral/mental health treatment. Experience working with an ethnically, culturally, and racially diverse office staff and patient population. COMMUNICATION SKILLS: Excellent interpersonal skills required including, but not limited to appropriate email etiquette, active listening, and thorough revision of all written assignments. LICENSURE / CERTIFICATION: Certification of Community Health Worker preferred. Working for Optimus: * OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function. * 100% Outpatient Setting * Excellent health & welfare benefit options * Competitive Compensation * Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment. Optimus is committed to providing equal employment opportunities to all applicants and employees

Full-time Description UCFS is looking for candidates who are passionate about making a difference in the lives of others! We are currently seeking a full-time (40hr) Community Health Worker for our Griswold and Plainfield Health Centers to utilize personal experience and training as a trusted member of a specific community/communities to assist individuals, families, couples, and groups with engagement into accessing and utilizing community resources including health and wellness services. The Community Health Worker may work with care team members to assist individuals in meeting health goals and decreasing health disparity by increasing access to care. ESSENTIAL RESPONSIBILITIES - Provides peer mentoring support, information, and guidance relevant to consumer needs (social skills, substance use recovery supports, primary care, training, mentoring, behavioral health, health awareness and recreational activities, etc.) Collaborates with behavior health, primary care, dental and other UCFS services and clients to determine care plans related to basic needs; legal, medical, and insurance. Assists clients to meet basic needs via case management, skill building and coaching. Conducts outreach in the community to targeted groups and individuals to identify and address barriers to accessing and utilization of health and social services Establish and facilitate communication plan, timeline and follow up Maintain familiarity with community resources and collaborate with state and local agencies and other community based supports Why UCFS? Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more. If you are committed to helping individuals, couples, and families, we encourage you to apply for this exciting opportunity. Requirements Minimum of Associates Degree, BA/BS preferred UCFS offers a comprehensive benefits package including - Flexible schedules Competitive salaries Generous paid time off including 3 weeks' vacation, 4 floating holidays and 10 sick days each year Medical, dental and vision insurance 401(k) plan with 6% employer contribution Paid life and disability insurance UCFS is committed to providing equal employment opportunities to all applicants and employees as protected by applicable law.

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. Connecticut Children's Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating best practices, and building inclusive partnerships to strengthen families and build stronger communities. Education and/or Experience Required: * Education Required: Bachelor's degree in social work, Family and Human Development, Public Health, and related fields. * Experience Required: Minimum of 3 years' experience working with families and community system and may substitute for degree. License and/or Certification Required: * Valid CT Driver's License; willingness to drive own vehicle throughout North Central Region and State of CT Knowledge, Skills and Abilities: Knowledge of: * Community resources/social service organizations. * Cultural diversity/awareness. * Children, youth, and families. Skills: * Working with clinical providers as a part of the multi-disciplinary team * Experience in working in clinical or community setting with children and families * Excellent written and verbal skills * Computer skills- data entry into program databases, including outcome metrics Ability to: * Ability to work with families of all ethnic and socioeconomic backgrounds. * Ability to work independently; time management and organizational skills * Competence in providing developmentally appropriate care and services * Ability to work within boundaries of job description * Ability to work collegially and collaboratively with all disciplines * Excellent communication skills * Bilingual (Spanish/English) preferred Direct Care Coordination: * Provide comprehensive care coordination services to children, youth, and their families by linking them to appropriate medical, developmental. Behavioral, educational (etc.), and social services and resources. * Utilizes the strength based approach, Strengthening Families, The 5 Protective Factors Framework, to partnering with families. * In collaboration with families and in consultation with primary care providers and specialty providers, develop and implement a comprehensive, shared plan of care that addresses specific needs and goals * As an integral member of the care coordination team, collaborate with inpatient, outpatient, and behavioral health team members to ensure transitions in care across the continuum that will mitigate the potential for gaps in care, redundancy, duplication, and poor health and wellbeing outcomes. * Participate and advocate for families during medical appointments, school meetings, case conferences, etc. as appropriate * Participate in all grant specific meetings, care coordination collaboratives, and various community meetings as appropriate. Meet required grant deliverables as indicated. Center Responsibilities: * Participate fully in Center activities: staff meetings, work groups, innovative programs and projects, research activities. Documentation: * Communicate with providers via fax/email on progress of services. * Document all care coordination activities in data bases as appropriate. * Adherence to current HIPAA guidelines in insure patient/family confidentiality. Education and Advocacy: * Empower families to direct the care of their children within the medical home model (or other care delivery system) by formulating a care plan that promotes self-advocacy, networking skills, and culturally relevant services. * Provides education, consultation, referrals, training and support to families and community providers through direct advocacy, technical training, and providing educational materials. * Collaborates with colleagues in the Center for Care Coordination by providing information and technical assistance on cases, attending care management meetings, and assisting in the development of center policies and procedures * Addresses issues that negatively impact cost and quality of care, liaisons with Connecticut Children's Medical Center on-site and satellite programs, which serve children with special health care needs. Demonstrates knowledge of the population-specific differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families and co-workers. Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the CT Children's Behaviors.

The Community Health Worker is a member of the Community Health Team and acts as link to community-based organizations to facilitate patient access to health/social services. Requirements: Associates or Bachelor's degree in a social science, research or public health-related field preferred. High School diploma and a combination of training and skills to effectively carry out responsibilities and assignments (such as previous experience working with patients in a community-based setting). Community Health Worker Certification required Experience with accessing social service resources, healthcare navigation, or case management preferred. Working knowledge of Microsoft Windows Operating System and Microsoft Word required. Experience working with patients regarding managing their health, navigating systems, and providing care coordination is preferred.

We Did It Again! InterCommunity is a 2025 Healthcare Top Workplaces Winner! VOTED by our incredible staff a TOP WORKPLACE for 12 YEARS - including 2025! Join a Mission That Matters InterCommunity, Inc. is a Federally Qualified Health Center Look-Alike (FQHC LA) committed to providing accessible, compassionate care to everyone - regardless of life situation or ability to pay. We offer same-day primary care and a wide range of behavioral health services across our community health centers in: 281 Main St., East Hartford 40 Coventry St., Hartford 828 Sullivan Ave., South Windsor Our Addiction Services Division provides a full continuum of care, including: Primary care integration Residential detox and treatment Outpatient mental health and substance use services for adults and children Intensive outpatient programs Employment and community support Mobile crisis evaluations Judicial support services Social rehabilitation Why Work With Us? At InterCommunity, we believe your well-being matters - at work and beyond. That's why we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance. All benefit- eligible employees of InterCommunity are eligible for Medical, Dental, Voluntary Vision, Group Life, Supplemental Life, Short-Term Disability and Long-Term Disability. (A benefit -eligible employee is one who is schedule to work a minimum of 30 hours per week.). In addition, all employees may contribute to our 401k and those who meet eligibility and service requirements will receive the company contribution. Benefits are effective on the first day of the month following date of hire. Our Benefits Include: Work Life-Balance-Flexibility, generous Paid PTO, and paid holidays. Health & Dental insurance - flexible contribution options that includes 2 HDHP w/ HSA enrollment option or non-HDHP at a minimal cost to employees. Voluntary vision coverage. Employer-paid Short-Term Disability, Long-Term Disability, and Basic Life & AD&D. Supplemental Life Insurance available. 401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked Career advancement opportunities in a supportive, mission-driven environment. Summary: The Community Support Specialist provides skill building, engagement, care coordination as part of the Community Support Team. These services are community based and involve being in client's homes and other community-based locations including various inpatient settings. Essential Duties & Responsibilities: Collaborate with the clinical team and their clients to identify required services by assessing the overall needs of each client. Support client recovery by joining OP clinicians, Primary Care and participating in individual treatment sessions as necessary. Provide linkages with various community resources. Completes all required documentation related to treatment in accordance with established procedures including but limited to court letters, gathering medical records, copying, faxing, scanning, collateral contact and appointment scheduling. Engage clients and support ongoing attendance by completing all tracking documents and reports to support engagement. Provide assistance during the assessment of individuals in crisis and intoxicated clients by helping to determine the need for crisis involvement or detox and facilitate the admission to detox facility. Provides education, support and consultation to individual's families and their support system which is directed exclusively to the well being and benefit of the individual, if needed. Performs related duties as required including transportation of clients. Must have reliable and insured vehicle *All agency staff are required to attend all mandatory department/agency meetings and trainings *All Residential Support Staff Employees MUST show proof of CPR Certification within 60 days of official start date. Schedule: Monday - Friday, 8:00 AM - 4:30 PM Requirements Education &/Or Experience: A bachelor's degree or an associate degree in health or behavioral health or Recovery Support Specialist. Equivalent experience in a community health center or behavioral health setting may be considered. Experience working in a setting attending to the needs of those in recovery from mental illness and substance use/addiction. Competencies: Initiative Team Player Time Management Decision Making Communication Proficiency Organization Skills Salary Description Wage Range: $21.25 - $25.00 Hourly

Full-time Description We Did It Again! InterCommunity is a 2025 Healthcare Top Workplaces Winner! VOTED by our incredible staff a TOP WORKPLACE for 12 YEARS - including 2025! Join a Mission That Matters InterCommunity, Inc. is a Federally Qualified Health Center Look-Alike (FQHC LA) committed to providing accessible, compassionate care to everyone - regardless of life situation or ability to pay. We offer same-day primary care and a wide range of behavioral health services across our community health centers in: 281 Main St., East Hartford 40 Coventry St., Hartford 828 Sullivan Ave., South Windsor Our Addiction Services Division provides a full continuum of care, including: Primary care integration Residential detox and treatment Outpatient mental health and substance use services for adults and children Intensive outpatient programs Employment and community support Mobile crisis evaluations Judicial support services Social rehabilitation Why Work With Us? At InterCommunity, we believe your well-being matters - at work and beyond. That's why we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance. All benefit- eligible employees of InterCommunity are eligible for Medical, Dental, Voluntary Vision, Group Life, Supplemental Life, Short-Term Disability and Long-Term Disability. (A benefit -eligible employee is one who is schedule to work a minimum of 30 hours per week.). In addition, all employees may contribute to our 401k and those who meet eligibility and service requirements will receive the company contribution. Benefits are effective on the first day of the month following date of hire. Our Benefits Include: Work Life-Balance-Flexibility, generous Paid PTO, and paid holidays. Health & Dental insurance - flexible contribution options that includes 2 HDHP w/ HSA enrollment option or non-HDHP at a minimal cost to employees. Voluntary vision coverage. Employer-paid Short-Term Disability, Long-Term Disability, and Basic Life & AD&D. Supplemental Life Insurance available. 401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked Career advancement opportunities in a supportive, mission-driven environment. Summary: The Young Adult Services (YAS) Employment & Community Support Specialist is a hybrid role focused on skill development, engagement, and care coordination for individuals ages 18-25. Services are delivered in community-based settings, including clients' homes, inpatient facilities, and other locations where young adults receive support. Essential Duties and Responsibilities: Assist in linking each client between the ages of 18-25 years the necessary clinical, medical, medical, social, educational, rehabilitative, vocational and/or other services within the team or outside providers if necessary. Employment Specialists assist clients in assessing, choosing, obtaining and maintaining competitive employment integrated within the community. Assesses job compatibility for individuals and provides training to clients in job readiness and job coaching. Enrolls participants in educational/vocational programs suited to their needs. Ability to create and facilitate groups based on client identified needs (both office and community based). Collaborate within the team and the clients to identify required services by assessing the overall needs of each client. Support client recovery by participating in individual treatment sessions within the YAS Team or outside providers if necessary. Completes all required documentation related to treatment in accordance with established procedures including but not to limited to court letters, gathering medical records, copying, faxing, scanning, collateral contact and appointment scheduling. Proficient knowledge with computer and technology skills (EMR System, Typing, Emailing, use of Smart Phone & Microsoft office). Provides assistance during the assessment of individuals in crisis and intoxicated clients by helping to determine the need for crisis involvement or detox and facilitate the admission to the detox facility. Provides education, support and consultation to clients and the individual's families or their support system which is directed exclusively to the well-being and benefit of the individual, if needed. Performs related duties as required including transportation of clients. Must have a reliable and insured vehicle. *All agency staff are required to attend all mandatory department/agency meetings and trainings* *All Residential Support Staff Employees MUST show proof of CPR Certification within 60 days of official start date. Schedule: Monday - Friday, 9:00 AM - 5:30 PM Requirements A bachelor's or associate degree in health or behavioral health is preferred. Equivalent experience in a community health center or behavioral health setting may also be considered. Prior experience supporting individuals in recovery from mental illness and substance use or addiction is strongly valued. Salary Description Wage Range: $21.25 - $25.00 Per Hour

We Did It Again! InterCommunity is a 2025 Healthcare Top Workplaces Winner! VOTED by our incredible staff a TOP WORKPLACE for 12 YEARS - including 2025! Join a Mission That Matters InterCommunity, Inc. is a Federally Qualified Health Center Look-Alike (FQHC LA) committed to providing accessible, compassionate care to everyone - regardless of life situation or ability to pay. We offer same-day primary care and a wide range of behavioral health services across our community health centers in: * 281 Main St., East Hartford * 40 Coventry St., Hartford * 828 Sullivan Ave., South Windsor Our Addiction Services Division provides a full continuum of care, including: * Primary care integration * Residential detox and treatment * Outpatient mental health and substance use services for adults and children * Intensive outpatient programs * Employment and community support * Mobile crisis evaluations * Judicial support services * Social rehabilitation Why Work With Us? At InterCommunity, we believe your well-being matters - at work and beyond. That's why we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance. All benefit- eligible employees of InterCommunity are eligible for Medical, Dental, Voluntary Vision, Group Life, Supplemental Life, Short-Term Disability and Long-Term Disability. (A benefit -eligible employee is one who is schedule to work a minimum of 30 hours per week.). In addition, all employees may contribute to our 401k and those who meet eligibility and service requirements will receive the company contribution. Benefits are effective on the first day of the month following date of hire. Our Benefits Include: * Work Life-Balance-Flexibility, generous Paid PTO, and paid holidays. * Health & Dental insurance - flexible contribution options that includes 2 HDHP w/ HSA enrollment option or non-HDHP at a minimal cost to employees. * Voluntary vision coverage. * Employer-paid Short-Term Disability, Long-Term Disability, and Basic Life & AD&D. * Supplemental Life Insurance available. * 401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked * Career advancement opportunities in a supportive, mission-driven environment. Summary: The Community Support Specialist provides skill building, engagement, care coordination as part of the Community Support Team. These services are community based and involve being in client's homes and other community-based locations including various inpatient settings. Essential Duties & Responsibilities: * Collaborate with the clinical team and their clients to identify required services by assessing the overall needs of each client. * Support client recovery by joining OP clinicians, Primary Care and participating in individual treatment sessions as necessary. * Provide linkages with various community resources. Completes all required documentation related to treatment in accordance with established procedures including but limited to court letters, gathering medical records, copying, faxing, scanning, collateral contact and appointment scheduling. * Engage clients and support ongoing attendance by completing all tracking documents and reports to support engagement. * Provide assistance during the assessment of individuals in crisis and intoxicated clients by helping to determine the need for crisis involvement or detox and facilitate the admission to detox facility. * Provides education, support and consultation to individual's families and their support system which is directed exclusively to the well being and benefit of the individual, if needed. * Performs related duties as required including transportation of clients. Must have reliable and insured vehicle * All agency staff are required to attend all mandatory department/agency meetings and trainings * All Residential Support Staff Employees MUST show proof of CPR Certification within 60 days of official start date. Schedule: Monday - Friday, 8:00 AM - 4:30 PM Requirements Education &/Or Experience: A bachelor's degree or an associate degree in health or behavioral health or Recovery Support Specialist. Equivalent experience in a community health center or behavioral health setting may be considered. Experience working in a setting attending to the needs of those in recovery from mental illness and substance use/addiction. Competencies: * Initiative * Team Player * Time Management * Decision Making * Communication Proficiency * Organization Skills Salary Description Wage Range: $21.25 - $25.00 Hourly

Connecticut Children's Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating best practices, and building inclusive partnerships to strengthen families and build stronger communities. The Center utilizes a universal, evidence based, research informed, and policy driven approach to enhanced care coordination that not only meets the interrelated medical, developmental, behavioral, and social needs of children, but enhances the care giving capacity of families. Provide care coordination services to all children (including children and youth with special health care needs and children who are vulnerable and at risk for poor outcomes) by supporting and assisting families with accessing and securing appropriate community services and resources. Education and/or Experience Required: Education Required: Bachelor's degree in social work, Family and Human Development, Public Health, and related fields. Experience Required: Minimum of 3 years' experience working with families and community system and may substitute for degree. License and/or Certification Required: Valid CT Driver's License; willingness to drive own vehicle throughout North Central Region and State of CT Knowledge, Skills and Abilities: Knowledge of: Community resources/social service organizations. Cultural diversity/awareness. Children, youth, and families. Skills: Working with clinical providers as a part of the multi-disciplinary team Experience in working in clinical or community setting with children and families Excellent written and verbal skills Computer skills- data entry into program databases, including outcome metrics Ability to: Ability to work with families of all ethnic and socioeconomic backgrounds. Ability to work independently; time management and organizational skills Competence in providing developmentally appropriate care and services Ability to work within boundaries of job description Ability to work collegially and collaboratively with all disciplines Excellent communication skills Bilingual (Spanish/English) preferred Direct Care Coordination: Provide comprehensive care coordination services to children, youth, and their families by linking them to appropriate medical, developmental. Behavioral, educational (etc.), and social services and resources. Utilizes the strength based approach, Strengthening Families™, The 5 Protective Factors Framework, to partnering with families. In collaboration with families and in consultation with primary care providers and specialty providers, develop and implement a comprehensive, shared plan of care that addresses specific needs and goals As an integral member of the care coordination team, collaborate with inpatient, outpatient, and behavioral health team members to ensure transitions in care across the continuum that will mitigate the potential for gaps in care, redundancy, duplication, and poor health and wellbeing outcomes. Participate and advocate for families during medical appointments, school meetings, case conferences, etc. as appropriate Participate in all grant specific meetings, care coordination collaboratives, and various community meetings as appropriate. Meet required grant deliverables as indicated. Center Responsibilities: Participate fully in Center activities: staff meetings, work groups, innovative programs and projects, research activities. Documentation: Communicate with providers via fax/email on progress of services. Document all care coordination activities in data bases as appropriate. Adherence to current HIPAA guidelines in insure patient/family confidentiality. Education and Advocacy: Empower families to direct the care of their children within the medical home model (or other care delivery system) by formulating a care plan that promotes self-advocacy, networking skills, and culturally relevant services. Provides education, consultation, referrals, training and support to families and community providers through direct advocacy, technical training, and providing educational materials. Collaborates with colleagues in the Center for Care Coordination by providing information and technical assistance on cases, attending care management meetings, and assisting in the development of center policies and procedures Addresses issues that negatively impact cost and quality of care, liaisons with Connecticut Children's Medical Center on-site and satellite programs, which serve children with special health care needs. Demonstrates knowledge of the population-specific differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families and co-workers. Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the CT Children's Behaviors.