Community Wellness Advocate- South Cove Health - Boston, United States - Boston Medical Center

Mark Lane

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Mark Lane

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Description

A Community Wellness Advocate (CWA) is a trusted member of the community who helps high-risk patients maintain stable health and wellness through integrating hospital, home-based, and community-based services. CWAs provide advocacy and case management services, develop interdisciplinary care plans based on identified patient needs, facilitate access to social service resources, monitor patient progress, and problem-solve with patients to enhance access to concrete supports.


  • Initiates face-to-face contact with eligible patients to describe the role and explain participation benefits.
  • Schedules and completes initial screenings, care plans, and follow-up visits for enrolled patients.
  • Teaches key educational messages using culturally appropriate strategies in various settings.
  • Documents all activities in the patient's record and care management system.
  • Participates in community outreach activities and presentations, collaborates with staff, and sets goals for patient care.
  • Connects patients with community resources and programs for disease self-management.
  • Consults with healthcare teams regarding complex patient situations and continuously develops optimal care plans.
  • Monitors participant progress, documents assessments, and updates patient data.
  • Provides advocacy, education, and assists patients in accessing community-based programs and services.
  • Establishes trusting relationships with patients and their families and participates in training activities.
  • Develops strong relationships with the community and community resources.


Position: Community Wellness Advocate
Department: South Cove Health Center, Quincy (Hybrid)
Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:
  • Initiates face-to-face contact with eligible patients to describe role, explain participation benefits, and begin screening process.
  • Schedules and completes initial hospital, clinic, or community-based visits for enrolled patients.
  • Teaches educational messages using culturally appropriate strategies.
  • Documents all activities in the patient's record.
  • Participates in community outreach and presentations.
  • Works with patients and providers to set goals for patient's care.
  • Connects clients with community services and programs for disease self-management.
  • Presents patients at case review meetings.
  • Consults with healthcare teams regarding complex patient situations.
  • Functions within an interdisciplinary team, connecting patients with resources.
  • Records and monitors participant progress toward goals.
  • Documents assessments and updates in the system; prepares reports as needed.
  • Provides advocacy and successful warm hand-offs in accessing programs.
  • Assists patients in overcoming barriers with concrete supports.
  • Coordinates with long-term services and supports.
  • Provide outreach, motivational interviewing, and resource connection to help patients.
  • Establishes relationships with patients and their families.
  • Participates in training activities and program meetings.
  • Develops relationships with the community and resources.

NOTE: The CWA will not provide hands-on care or home health services.


JOB REQUIREMENTS
EDUCATION
: HS Diploma with community experiences or Bachelor's degree
Driver's license required/reliable transportation required


EXPERIENCE: Minimum of 2 years in a health-related field

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