Montefiore Medical Center

Full Job Description
As an integral member of the BCHN Community Health Education and Promotion Program (CHEPP) and BCHN Patient Care Teams, the Outreach Specialist will provide care coordination services and conduct outreach to improve patient care and community health outcomes with target populations and address their social determinants of health needs.

The Outreach Specialist will:

Convey the purpose and services of BCHN programs to the user population and the impact that programs or services would have
Coordinate and conduct health screenings, health fairs, individual and group educational workshops, and other health events
Conduct public education and outreach activities to raise awareness about health issues and facilitate access to BCHN health centers for primary care
Motivate members to be active and engaged participants in their health
Will help community members develop health management goals and plans, and follow up to track progress and help meet their goal, providing care coordination services and serve as patient advocate
Assess for social determinants of health (SDH) needs and link and refer patients/clients to community resources and primary care services
Screen for health insurance eligibility and public benefits and assist with enrollment into a health plan or one or more of the public benefits that they are eligible for
Document every patient encounter, services provided and outcomes of referrals in EMR and BCHN reporting tools, submitting program reports in a timely manner
Knowledge, Skills & Abilities:

Excellent interpersonal, communication and oral skills / Excellent public speaking to make presentations
Proficiency in engaging the community and patients / Ability to communicate health education messages
Knowledge of computer programs and proficiency in Microsoft Word, Excel and Power Point (Will also use photocopier and fax machine, as needed)
Willingness and ability to work a flexible schedule to meet the needs of the community
Second language a plus

High School Diploma/GED | Bachelor’s Degree Preferred



At least 1 year of experience in healthcare and/or care coordination and care management

Knowledge of care coordination and local community resources


Department: Montefiore Medical Group Bargaining Unit: 1199 Campus: MMG Employment Status: Regular Full-Time Address: 1 Fordham Plaza, Bronx
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 163902


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.



To apply for this job please visit careers.montefiore.org.