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As an integral member of the BCHN Community Health Education and Promotion Program (CHEPP) and BCHN Patient Care Teams, the Outreach Specialist will provide care coordination services and conduct outreach to improve patient care and community health outcomes with target populations and address their social determinants of health needs.

The Outreach Specialist will:

  • Convey the purpose and services of BCHN programs to the user population and the impact that programs or services would have

  • Coordinate and conduct health screenings, health fairs, individual and group educational workshops, and other health events  

  • Conduct public education and outreach activities to raise awareness about health issues and facilitate access to BCHN health centers for primary care

  • Motivate members to be active and engaged participants in their health
  • Will help community members develop health management goals and plans, and follow up to track progress and help meet their goal, providing care coordination services and serve as patient advocate

  • Assess for social determinants of health (SDH) needs and link and refer patients/clients to community resources and primary care services

  • Screen for health insurance eligibility and public benefits and assist with enrollment into a health plan or one or more of the public benefits that they are eligible for

  • Document every patient encounter, services provided and outcomes of referrals in EMR and BCHN reporting tools, submitting program reports in a timely manner 

  • Have work experience with individuals with Substance Abuse Disorders 

Knowledge, Skills & Abilities:

  • Excellent interpersonal, communication and oral skills / Excellent public speaking to make presentations
  • Proficiency in engaging the community and patients / Ability to communicate health education messages
  • Knowledge of computer programs and proficiency in Microsoft Word, Excel and Power Point (Will also use photocopier and fax machine, as needed)
  • Willingness and ability to work a flexible schedule to meet the needs of the community
  • Second language a plus


High School Diploma/GED | Bachelor's Degree Preferred



At least 1 year of experience in healthcare and/or care coordination and care management

Knowledge of care coordination and local community resources


Department: Montefiore Medical Group Bargaining Unit: 1199 Campus: MMG Employment Status: Regular Full-Time Address: 1 Fordham Plaza, Bronx
Shift: Day Scheduled Hours: 9 AM-5:30 PM Req ID: 167512 


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 



To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity