Community Health Advocate III (Enhanced Care Management)

Description

Position Title: Community Health Advocate III (Enhanced Care Management) 

Department: Community Health 

Reports to: Program Manager, Community Health  

FLSA Classification: Non-Exempt 

Compensation: $29.00- $32.00/hr. 

Background: 

Fifty years ago, four Black American mothers, aided by 25 volunteer Black physicians, launched Baywell Health, formally known as West Oakland Health amid the Civil Rights and Black Power movements. It immediately became an anchor for the Black communities in West Oakland, East Oakland, and Berkeley for healthcare, health education, food and housing programs, and voter registration. The clinic became a spark that transformed healthcare advocacy in California and the nation. 

Baywell Health’s purpose is to be the trusted hub advancing the Bay Area Black community’s health and dignity. We work to do this by providing high-quality, comprehensive adult and family medicine, pediatric health care, dental care, optometry, podiatry, behavioral health services, and pharmacies at two locations while also being a space where medical care is our central but not the sole aim. We aim to be a place where community members also receive assistance on things that will make our community socially, economically, emotionally, and physically healthy. 

Job Summary: 

Under the general supervision of the Community Health Program Manager, CHA III, works to lead Baywell Health’s Care Neighborhood Enhanced Care Management (ECM) program. The ECM program is a statewide Medi-Cal benefit intended to address members’ needs by providing intensive coordination of health and health-related services.  

Duties/Responsibilities: 

• Serve as the lead for Baywell Health’s Enhanced Care Management (ECM) program under the Community Health Network’s Care Neighborhood initiative. 

• Provide case management services focused on patient relationship building and connecting patients to resources.  

• Identify patients with unmet social determinants of health (SDOH) using screening assessments to evaluate needs like homelessness, food insecurity, literacy, economic/job access, and exposure to violence.  

• Document assessments in medical charts and review for identifying patients needing higher levels of care management.  

• Lead training, quality management, and provide technical assistance or case management across the Community Health program.  

• Develop workflows and training materials, serve as primary contact for program feedback and clinical issues.  

• Assist community members in applying for Medi-Cal at events like health fairs; support referrals and ongoing care coordination as part of an integrated health care team.  

• Collect, analyze, and enter health data from outreach efforts; audit data from other CHAs to evaluate health program effectiveness and identify improvement areas.  

• Counsel patients on health behaviors, participate in outreach efforts, conduct MyChart outreach, initiate engagement with new members, and contribute to member retention and Baywell Health promotion events.  

• Inform policy development and implement health programs to address community health concerns. 

• Participate in Plan-Do-Study-Act (PDSA) initiatives to enhance patient care access and quality, maintaining an ECM training and event calendar. 

• Engage actively with community members to promote health programs, gather feedback, and advocate for patient experiences in Baywell interdisciplinary team meetings. 

• Coordinate with medical staff to ensure culturally sensitive case management for patients with complex medical or psychosocial issues; attend county-wide meetings for coordinating health services for low-income families. 

• Build partnerships with local organizations, businesses, and agencies to promote community health and enhance patient engagement in their medical care. 

• Participate in training, care coordination meetings, assist with other Community Health programs, and provide backup for CHAs or other Baywell Health team members. 

Required Skills/Abilities: 

• Strong advocacy and outreach skills to promote health equity by implementing health programs and policies benefiting community health. 

• Basic proficiency in Microsoft Office Suite, especially Excel and Word; preferred experience with Next-Gen EHR, Epic, Tableau, and health data tracking and reporting tools. 

• Excellent verbal and written communication skills.  

• Excellent interpersonal and customer service skills. 

• Excellent organizational skills and attention to detail. 

• Excellent time management skills with a proven ability to meet deadlines. 

• Ability to function well in a high-paced and at times stressful environment. 

• Must possess a valid driver’s license. 

• Access to reliable transportation and willingness to travel to Baywell clinics as required. 

Education and Experience: 

• Bachelor's degree in healthcare, Social Welfare, Psychology, Public Health, or related field, or an equivalent combination of education and experience. 

• Minimum of 1-2 years’ experience in a community health setting or equivalent. Experience as a lead care manager in coordinating physical, mental, dental, and social services preferred. Experience with underserved, minority populations and familiarity with the role of a CHA within a Medical Home model are advantageous. 

• Required participation in training for certification as a Community Health Worker (CHW) and Certified Enrollment Counselor; expected to pursue additional training in areas like family planning, lay counseling, and food handling as relevant. 

• Strong foundation in healthcare and public health, especially in health equity, health education, chronic disease management, and community resources. Familiarity with healthy lifestyle, nutrition, and fitness practices. 

Mental and Physical Requirements:  

• The pace of Work: High stress, very rapid, and demanding 

• Concentration: Constant 

• Standing and Walking Time Required: At least 20% of the time 

• Sitting and typing: 60% - 70% 

• Environmental and Health Hazards: Frequent exposure to communicable diseases and other conditions common to a clinic environment. 

• The employee must frequently use hands and fingers to operate a computer keyboard, mouse, and telephone keyboard and talk or hear. 

• The employee must occasionally bend, lift and move up to 25 pounds. 

• Specific vision abilities required by this job include close vision, peripheral vision, and the ability to adjust focus. 

• May be required to work in an environment with high noise levels and unpredictable temperature and ventilation.  

The above information on this position has been designed to indicate the general nature and level of work to be performed by employees designated for this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications, or physical requirements. 

About Our Benefits: 

At Baywell Health, we offer a comprehensive benefits package starting on your first day. Our benefits are designed to support both you and your family with a range of options that include medical, dental, vision, life, and disability coverage. 

Baywell Health covers 100% of the employee portion for medical, dental, and vision plans, and we also provide full coverage for dependent dental and vision care. For health benefits, we cover a significant portion of dependent costs. 

Additional benefits include: 

• Annual education reimbursement 

• Employee-funded 403b plan, along with an employer-funded 401a plan 

• Employee Assistance Program (EAP) for personal support 

• Generous Paid Time Off (PTO) and company-paid holidays 

Qualifications

Salary : $29 - $32