Senior Community Health Representative

NYU Grossman School of Medicine • New York, NY • 3h ago

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. For more information, go tomed.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, TwitterandInstagram.Position Summary:We have an exciting opportunity to join our team as a Senior Community Health Representative.We have an exciting opportunity for a Senior Geriatric Community Health Worker (CHW) within the Ronald O. Perelman Department of Emergency Medicine. In coordination with the primary emergency department care team and the Geriatric Emergency Medicine (GEM) team, the Community Health Worker will actively support older adults in the emergency department (ED) by addressing non-medical barriers that impact safe discharge planning and overall health outcomes.The CHW will provide non-clinical support focused on the social, functional, and environmental factors affecting adults aged 65 and older. Working alongside the interdisciplinary clinical team, the CHW will screen for barriers such as caregiver strain, food insecurity, transportation challenges, housing instability, and home safety concerns.The Geriatric Community Health Worker will be embedded within the ED care team and will work closely with the Geriatric Emergency Medicine Nurse Practitioner (GEM NP). The GEM NP, ED providers and ED social workers will help identify older adults who may benefit from additional screening and support, including patients with complex medical and social needs, cognitive impairment, frequent ED utilization, or concerns related to discharge safety. The CHW will ensure that vulnerable older adults are identified and connected with services that support safer transitions from the ED to the community.Job Responsibilities:1. Collaborate closely with Social Work, Case Management, Geriatric Emergency Medicine Nurse Practitioner, community organizations, departmental leadership, and other stakeholders to support optimal patient outcomes.2. Establish trusting relationships with patients while providing support, advocacy, and guidance.3. Screen patients aged 65 and older for social, functional, and environmental barriers impacting health and discharge safety.4. Assist patients in accessing medical, behavioral health, psychosocial, and community-based services, including referrals to community organizations.5. Serve as a liaison between patients, families, healthcare providers, and community agencies.6. Provide longitudinal follow-up including patients experiencing barriers to care, language and literacy challenges, transportation limitations, insurance issues, difficulty scheduling appointments, and medication access concerns.7. Advocate for patients and families when barriers to healthcare access or continuity of care exist.8. Support the primary care team with coordination of care during transitions from hospital to home and within community settings.9. Maintain consistent communication between patients and interdisciplinary care teams to ensure continuity of care.10. Collaborate with clinical personnel to ensure patient needs, referrals, and follow-up plans are appropriately communicated and documented.11. Conduct community outreach initiatives to engage older adults and promote community health and wellness.12. Maintain accurate electronic records, collect data,

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