COVID-19 Responder/Value-Based Care Coordinator

0/2 Positions Available for this Role. Positions Start on August 29th, 2022.

All of the SFDPH positions listed will – in addition to the unique responsibilities described for each position – work as part of a COVID-19 team to conduct several components of contact investigation, contact tracing, and COVID-19 vaccination efforts. Activities will include: calling patients with a new diagnosis and obtaining demographic information, sharing guidance for self-isolation, facilitating referrals and linkage to services for medical and basic needs, and obtaining a list of close contacts from the patient. After the initial call, NHC members will follow up with COVID-19 positive patients to conduct wellness checks and facilitate referrals and linkage to services as needed. NHC members will also conduct outreach to patients eligible for COVID-19 immunization, ensuring that patients receive accurate information while receiving feedback from the patients. Members would also have the opportunity to assist COVID-19 Vaccination Sites in traffic flow direction, 2nd dose and booster scheduling, and eligibility criteria confirmation.

In addition to the above responsibilities, the member will focus on unmet needs related to chronic disease control, behavioral health, pediatric immunizations, care of perinatal patients and other needs by conducting outreach to patients to address overall care gaps, provide coaching, education and additional resources aligned with patient needs and safety, and help refer/schedule visits with clinic staff in person or by phone.

The Value-Based Care Team follows over 40 different quality metrics that assess the care delivered to our patients. Areas of focus may include, but are not limited to, pediatrics, perinatology, cardiology, urgent care, addiction medicine, chronic care (DM, CHF, etc), behavioral health and appropriate use of resources care to improve the care of our patients. Focus areas will shift (no more than three times over the course of the year) depending on performance at that time of member joining the team. This will give members a well-rounded and varied exposure to aspects of health care delivery within a safety net.  

COVID-19 Response Responsibilities

• Communicating with patients newly diagnosed with Covid-19
• Maintaining professional boundaries and respecting patient confidentiality
• Collecting and recording information on patients
• Providing cases with information about quarantine procedures
• Referring patients to social and support services
• Following established scripts to provide information to patients
• Attending meetings with host site staff as needed
• Conducting outreach to patients with unmet needs
• Providing health coaching for patients
• Working closely with staff and leadership
• Identifying gaps and implementing new workflows
• Engaging patient advisors to improve patient experience
• Participating in patient care and education
• Greeting and intaking patients in person and at testing and/or vaccination sites
• Providing administrative and logistical support
• Participating in health and awareness campaigns
• Creating communications, flyers, and graphics
• Obtaining feedback to improve communications
• Developing and providing community education

Outreach Responsibilities

• Actively participating in heath campaigns by monitoring health issue trends
• Creating and developing communications related to outreach campaigns
• Obtaining feedback to improve on communication materials
• Developing and providing health education for the community
• Providing outreach to stakeholders to identify issues
• Planning, scheduling, and convening workgroups between organizations
• Generating and disseminating findings/implementation reports
• Collecting, recording, and evaluating data to inform education on health issue
• Utilizing data to schedule education sessions
• Utilizing partnerships and data to coordinate referrals
• Providing education to clients and refer them to providers
• Providing health education to at-risk populations
• Maintaining educational materials in waiting/examination rooms
• Developing and distributing new materials geared towards patients, clients, and/or organizations
• Creating basic curriculum and revisiting and revising it
• Conducting interviews of community to adjust curriculum
• Teaching classes/workshops in-person and remote on health,Providing outreach in the community to promote services
• Targeting groups that have a high number of clients
• Meeting with referral staff to ensure that clients receive services
• Developing and conducting needs assessment through focus groups
• Assessing and reporting on existing services in the target area
• Creating and implementing surveys to assess program effectiveness
• Developing new program materials to aid reach, scope,and effectiveness
• Networking with the community
• Doing educational presentations
• Developing educational materials
• Collecting and tracking of data

• Understanding of/Willingness to learn about the community
• Compassionate, Curious, Respectful, Open-minded
• Can manage time independently; Can work efficiently
• Proficient computer and data entry skills (e.g., Microsoftsuite)
• Good interpersonal skills; Ability to interact professionally; Ability to interact empathetically with diverse individuals
• Ability to handle confidential information
• Experience working with patient populations
• Excellent customer service
• Flexible
• Speaks language(s) spoken by patient populations
• Knowledge of health-related issues
• Able to serve in a fast-paced environment
• Organized; sound organizational skills
• Good telephone skills
• Knowledge of electronic health records; Medical/clinical experience
• For the COVID-19 response and vaccine outreach, we value individuals who have experience and confidence in speaking with patients/clients in a respectful and inquisitive manner to disclose results, outreach for vaccination (and provide education via a script as needed).

• Knowledge of AmeriCorps/Health Corps member requirements
• Skill with Microsoft Office or other software for a variety of data processing operations involving a range of problem solving, record keeping, correspondence, and service tracking options

• Unusual service hours, involving evenings, weekends,or long shifts
  • COVID response activities will change in response to the needs of the SFHN based on community prevalence of COVID and volume of results to disclose as well as if national/state/county guidance or recommendations change (i.e., additional booster recommendations for certain populations). This may occasionally require work on evenings, weekends, or long shifts depending on needs.

Not Required, Highly Desired: Proficiency in Spanish, Cantonese, or Mandarin (All Other Languages Also Welcome)