Community Outreach Specialist

Location

Location:
Local Hybrid: Local to the McMinnville, OR area, with flexibility to work both remotely and/or in-person at YCCO's office in McMinnville. Most of the positions at YCCO are hybrid.

Department: Health Plan Operations FLSA Status: Exempt (Salaried)

Division: CHW Hub Physical Strength: Light (L)

Reports To: Clinical Care Manager Work Location Type: Local Hybrid

Supervisory Role: No Occasional Weekend Work: Yes

Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid members, covered under the Oregon Health Plan, in Yamhill County, as well as parts of Washington and Polk Counties. Our mission is to improve the quality of life of the communities we serve by coordinating effective care. Beyond healthcare, we also provide an Early Learning Hub, supporting families and children with essential resources and programs for early childhood development.

Together, we're building a unified healthy community that celebrates physical, mental, emotional, spiritual, and social well-being.

Learn more about Yamhill Community Care:

The Community Outreach Specialist provides the opportunity to use life experience to support individuals navigating the health system and connect with needed resources. This role is responsible for working alongside the Member and healthcare teams to identify chronic conditions, unmet healthcare needs, social service needs, and issues that may be preventing access to use of available services. This position partners in preparing a plan to address Member needs, including goals to increase Member activation, and access and appropriate use of services.

This position is primarily field‑based in support of the Member performing home and community visits and attending provider visits. The position includes remote, office based, and field work, and community engagement. This position serves as an important link to Community‑based health and social needs services to improve the quality and cultural competency of service delivery. This position also aids in building individual and community‑based capacity by increasing health knowledge and self‑sufficiency for Members and the community through a range of activities that include Member outreach, community education, informal counseling, social support and advocacy.

• Provides field‑based support for Members through home and community visits, attending provider appointments, and being available to attend other health‑service visits as may be indicated.
• Facilitates the creation of the Member Individual Care Plan (ICP) and for Members receiving Social Needs benefits, a Person‑Center Service Plan (PCSP) working in collaboration with the Member, Member caregiver / representative, and others on the healthcare team to identify Member needs and challenges.
• Utilizes Member information to identify Member clinical and social needs to increase Member activation, access, and appropriate use of services.
• Evaluates and modifies Member support needs as necessary to assess progress, identify need changes and revise Member specific care plans.
• Engages with Members on a regular basis dependent on identified needs, to re‑evaluate needs and set and/or revise…