Major Responsibilities:

Clinic Operations & Patient Engagement 

Assist with patient intake, scheduling, and follow-up to ensure continuity of care. Support and promote clinic programs, processes, and services, reducing barriers to care. Oversee clinic processes such as eligibility, missed appointments, late arrivals, and patient assistance programs to improve access to care, patient experience, and health outcomes. Schedule specialty care appointments and connect patients to insurance application support. Advocate for patient needs and link to resources. Maintain accurate documentation in EHR and other systems. Track data and assist with grant reporting. 

Care Coordination & Social Support 

Conduct outreach for preventive services (e.g., screenings, vaccinations, advanced directives). Reduce barriers to ensure completion of appointments as well as improved ambulatory quality composite metrics. Assist with medication and vaccination applications for patient assistance programs. Facilitate health promotion activities aligned with patient needs and funding requirements. Perform SDOH screenings (housing, food, transportation, employment) and connect patients to appropriate resources. Provide culturally responsive peer support and education, including home visits when needed. 

Team and Community Collaboration 

Collaborate with staff to reduce cultural and language barriers in the ambulatory clinic setting. Promote culturally safe, trauma-informed practices and cultural humility among staff. Collaborate with grant/state partners to align care coordination with program goals. Coordinate with external organizations to reduce barriers and improve access to care. 

Minimum Job Requirements 

Education

High School Graduate, or  Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED), and Advanced training beyond High School that includes the completion of an accredited or approved program in Community Health or Completion of program within one year of employment. 

Certification / Registration / License 

N/A

Experience

Two years of community health or community service experience.One year experience in a clinical setting.Strong customer service and interpersonal skills  Effective written and verbal communication  Critical thinking and problem-solving  Discreet handling of sensitive information  Understanding of cultural humility and trauma-informed care  Able to work independently and in teams  Proficient with Microsoft Office  Knowledge of EHR system

Physical Requirements and Working Conditions

Clinical office environment with direct patient interaction. Occasional travel for home visits. Flexible hours may be required to meet patient and clinic needs. Ability to sit for most of the workday; occasional lifting up to 10 lbs. Operates all equipment necessary to perform job duties. 

Preferred Job Requirements 

Preferred Knowledge / Skills / Abilities 

Bilingual/multilingual preferred.  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.