Responsibilities include: • Carry out care coordination and patient navigation, including connecting patients with internal providers and services, and outside community resources and programs • Assist in closing care gaps and improving health outcomes, including assisting patients with referrals ordered by providers, obtaining prior authorizations as needed, documenting and tracking referrals until completion • Schedule appointments • Advocate for patients when interacting with community agencies and services • Consult with providers regarding patient needs for referrals or linkages • Collaborate with nursing staff, providers, community health workers, billing staff, and other departments regarding patients' needs • Provide education to patients to improve quality of life, health, and wellbeing • Assist patients in accessing health insurance, connecting patients to facilitated enrollers • Perform administrative tasks including running reports, entering survey data, and organizing preparation for meetings • Complete population data management using computer programs • Complete, track, and report in-reaching metrics • Assist in developing and implementing metrics to measure effectiveness of this position. Education and Skills: High school diploma or equivalent required; associate's degree, preferred Experience in community health, patient resource coordination or equivalent Computer skills, clerical skills, data entry and organization Excellent written and verbal communication, and problem solving skills Able to read, write and speak the English language.