Population Health Community Health Worker
Albion, NY (http://maps.google.com/maps?q=301+West+Avenue+Albion+NY+USA+14411)





Description



We are seeking a dynamic and mission-driven Population Health Community Health Worker to support our Patient Engagement Services team. This hybrid role combines community outreach, patient navigation, and population health strategies to improve access to care and health outcomes for underserved populations.


This position plays a critical role in advancing preventive care, addressing social determinants of health (SDOH), and supporting value-based care initiatives, including the Medicare Shared Savings Program (MSSP). The ideal candidate is equally comfortable working in the community and conducting outreach to patients by phone. Key Responsibilities:

Population Health & Care Gap Closure

+ Conduct targeted outreach to patients with care gaps (e.g., mammograms, FIT...