BWPO Community Resource Spec.
Brigham & Women's Hospital(BWH)

Boston, Massachusetts


The Department of Primary Care and the Integrated Care Management Program (iCMP) at Brigham and Women's Hospital have created a position for a Community Resource Specialist who will work with Social Workers, Nurse Care Coordinators and other primary care staff to ensure that patients receive the resources and services they need. This position is responsible for assisting with the development and continuity of collaborative relationships with community resources for our patients. The Community Resource Specialist is responsible for acting as a liaison between the hospital and various groups and services in the community. •Provide assistance to patients identified by the clinical staff
•Refer patients and their families, who need assistance, to the appropriate educational resources regarding health care delivery and reimbursement, prescription drug programs, health and wellness programs, long term care insurance, asset and legal management, government programs, community agencies, public and private organizations, housing options, and other services, as appropriate.

•Advocate for patients to ensure their safety, physical, legal and financial well-being.
•Support patients to meet their health goals.
•Proactively develop and maintain partnerships with local community-based agencies and programs
•Research resources and programs available for patients and their caregivers including but not limited to: disabled and elder housing assistance and programs; legal, financial and insurance resources; health education material.
•Maintain the resource database and regularly update staff on new information
•Participate in regular interdisciplinary team meetings to develop strategies for better supporting patients with complex care needs
•Work collaboratively with Social Workers and other staff to support patients which may include, but is not limited to: finding support systems for patients experiencing grief or bereavement; identifying and referring patients to community services such as transportation, Meals on Wheels, day programs; and the coordination of referrals to internal and external resources.
•Based on screening for Social Determinants of Health, the Community Resource Specialist will work with the Community Health Worker to help patients with housing and food needs. Knowledge of housing resources preferred.
•Act as a liaison between care teams and community groups and foster relationships with key contacts in those groups
•Maintain patient confidentiality in all matters.
•Participate in process improvement groups
•Responsible for working with nursing and pharmacy to provide Durable Medical Equipment for patients
•Direct referrals from Jen Center Medicaid ACO Social Workers to help patients with concrete Social Work needs
•Occasional community visits
•All other duties as assigned

•Bachelors degree preferred
•Demonstrated experience working with diverse and at-risk populations

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:(MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

•Customer focused and patient-centered
•Enjoys being part of a diverse team
•Ability to multi-task
•Comfortable with change
•Ability to work with patients in advising and developing goals
•Must have strong interpersonal skills.
•History of being highly organized, effective multi-tasker, self-motivated and self-directed
•Assessment and problem solving skills
•Ability to identify patient's needs and coordinate with community based services
•Strong written and oral communication skills; compassionate communication skills
•Ability to converse comfortably with patients and their caregivers and practice staff.
•Ability to represent the care team and maintain and build relationships in the community
•Knowledge of effective marketing techniques
•Spanish language skills preferred but not required

WORKING CONDITIONS:Describe the conditions in which the work is performed.

•The work will be based in an outpatient primary care practice and office environment at the Brigham and Women's Hospital. The Community Resource Specialist is expected to perform as member of the patient's outpatient primary care team, assisting in the advancement of the patient's care plan with occasional outreach to the patients in the community, and occasional community partner locations. Hours will be primary 8am-430p Monday-Friday. Please note this position is temporary at thistime, limited in duration of 40 weeks due to ACO grant funding and will be subjectedto review prior to renewal. Please applyonly if you are able to work full time through December 2022. Please include a letter of interest statingyour reason for applying and describing what skills you can bring to thisrole. Only completed applications willbe reviewed.

EEO Statement
Brigham and Women's Hospital is an Equal OpportunityEmployer. All qualified applicants will receive consideration foremployment without regard to race, sex, color, religion, national origin,sexual orientation, protected veteran status, or on the basis of disability.

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