Bilingual Community Resource Coordinator; L1

Hourly Rate Range: $24.00 to $26.00 per hour

Employee Benefits: Medical, Dental, Vision all with Carefirst Blue Cross Blue Shield, Paid Time Off (Annual, Sick, Personal, Holidays), 403B Plan, Short-Term & Long Term Disability, Life Insurance.

Telework: This position requires four days of in-person work each week, including two to three days at health center sites and one day er in-person duties may include in person meetings at PCC or community-based visits with patients or partner agencies. The employee must attend designated face-to-face meetings and complete other assigned in-office duties.

Note:

PCC employees must reside in the following five states and District of Columbia: MD, VA, WVA, DE, PA. & DC. Relocation costs are not provided.

Primary Care Coalition (PCC) has an open position in the Montgomery Cares Behavioral Health Program (MCBHP) for a Bilingual Community Resource Coordinator (BCRC). Working as part of PCC’s Collaborative Care model, the BCRC connects underserved patients with health and social services that address basic needs and support behavioral health treatment. The BCRC helps patients navigate services, coordinates referrals, conducts outreach and resource research, assists other agencies in connecting community members to health care programs, and supports care managers with behavioral health-related activities and questions about community resources.

• Provide Patient Navigation and Support Services
• Support behavioral health care managers by providing patient navigation and support services to patients as part of their treatment plans.
• Refer patients to community or social service agencies.
• Complete home and community-based visits to help patients access benefits and services. Examples include accompanying patients to county government offices to apply for benefits or delivering food from referral partners to homebound patients who cannot access transportation because of advanced age, illness, or disability.
• Assist with applications (e.g., SNAP, Montgomery Cares).
• Document all patient encounters accurately, appropriately, and promptly in the electronic health record and case management system while maintaining compliance with HIPAA.
• Collaborate with partner organizations and other departments at PCC
• Maintain positive relationships with healthcare and social service providers, including colleagues at PCC in other departments dedicated to helping patients and their families access healthcare and other services.
• Participate in community events and networking, including making presentations about PCC’s healthcare access programs.
• Share information with MCBHP and PCC team members on community resources that are available to patients.
• Serve as the point of contact and manage referrals for the MCBHP for programs that accept referrals from MCBHP, such as for the annual Holiday Giving Program.
• Support Care Managers in delivering behavioral health interventions
• Assist Care Managers with behavioral health screenings for anxiety and depression.
• Support patients with health literacy challenges (e.g. teaching patients how to make follow-up appointments at primary care clinics).
• Reinforce recommended behavioral health changes by sharing basic nutrition and healthy-lifestyle information and supporting patients as they work toward care-plan goals.

• Attend training to improve skills in appropriate areas and learn about new resources available for patients.
• Deliver prepared information about programs and participate in networking activities with external and internal stakeholders.
• Contribute to program publications and PCC committees and cross-departmental work groups.
• Participate in meetings of MCBHP, PCC, and health center staff as appropriate.
• Other duties as…