Employment Type:Full timeShift:Day ShiftDescription:Come join our newest program at Trinity Health Of New England! This is affiliated with our Medical Group Practices across the region.Licensed Practical Nurse (LPN) license required.Position PurposeThe Clinically Integrated Network (CIN) Community Health Coach acts as liaison between patients and healthcare and other community services, assisting patients to advocate for healthcare and social needs. Part of a larger population health team who are collectively accountable for coordinating patient care, improving health outcomes and disease management.What you will do
Manage a patient caseload and provides education, screening, brief intervention, and/or facilitation of referrals to providers and community-based organizations and programs
Complete initial assessment for patients identified as rising risk or who have been referred for interventions
Partner with the patient, family, and care team to reduce the impact of the social determinants of health and improve patient's participation in wellness
Serve as local expert in navigating community services available
Collaborate with care team members, including the Primary Care provider (PCP) and their clinical support staff, to understand patient risks and quality gaps in care. This may include visits to aligned primary care offices to meet patients and collaborate with PCP on referrals and support services.
Minimum Qualifications
Current active Licensed Practice Nurse license.
Minimum three years experience in healthcare setting
Community Health Worker Certificate highly desired, or experience with navigating or referring to local community resources a plus.
Bilingual Spanish/English desirable.
Position Highlights and Benefits
Full time 40hr
Great Benefits and Health Insurance Coverage—starting Day One!
Ministry/Facility InformationWe are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.EOE including disability/veteran