Community Outreach Navigator

About NYC Health + Hospitals

MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health has been committed to building strong relationships with its members and providers.

Position Overview

MetroPlusHealth  is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

The Community Outreach Coordinator under the direction of the ETE Senior Advisor plays a critical role in supervising the Community Outreach Navigator(s) while also actively engaging in community outreach and patient advocacy. This position is responsible for overseeing field operations, ensuring adherence to best practices, and facilitating outreach efforts to support individuals living with HIV. The Community Outreach Coordinator will work closely with healthcare providers, community partners, and internal teams to enhance engagement and improve patient health outcomes.

Job Description

• Supervise, mentor, and support the Community Outreach Navigator in their daily tasks and responsibilities.
• Conduct regular check-ins, training, and performance evaluations for Community Outreach Navigator(s).
• Coordinate and oversee outreach efforts, including home visits, hospital engagements, and community-based interventions.
• Engage patients in their homes, community locations, or healthcare facilities to assess barriers to care and support re-engagement with primary care services.
• Provide direct outreach and advocacy to individuals lost to care or at risk of disengagement, including accompaniment to medical or non-medical appointments.
• Collaborate with healthcare providers, care managers, and community organizations to streamline services and address patient needs.
• Assist with scheduling medical appointments, arranging transportation, and facilitating medication access to remove barriers to care.
• Monitor and track member utilization, including ER visits, hospitalizations, and behavioral health services, identifying opportunities for intervention.
• Document outreach efforts, patient interactions, and care coordination activities in the appropriate case management systems.
• Build trusting relationships with patients from diverse backgrounds using culturally sensitive and strengths-based approaches.
• Participate in case conferences, training sessions, and quality improvement initiatives to enhance service delivery.
• Conduct other activities in support of planning activities to support members living with HIV as assigned

Minimum Qualifications

Required Licensure and / or Certification

Professional Competencies