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The Johns Hopkins University Guiding an Improved Dementia Experience (GUIDE) program, funded by the Centers for Medicare and Medicaid Services (CMS), is seeking a dedicated and proactive **_Community Outreach Coordinator_** . This individual will support persons with dementia and their caregivers in navigating resources, health care services, and social supports, focusing on culturally competent, person-centered care. The Community Outreach Coordinator will utilize standardized protocols to assist in assessments and care planning and facilitate education and connection to community-based services while contributing to the national evaluation of this multi-year dementia care model. This position will report to the Program Manager for the GUIDE Program and will work closely with an interdisciplinary care team.

Specific Duties and Responsibilities

+ Manage a caseload of program participants, using project registries to ensure consistent care coordination.

+ Administer questionnaires and protocol-based assessments of care needs and social determinants of health.

+ Use protocols to help develop and support a care plan agreed upon by the interdisciplinary team.

+ Assist patients and caregivers with community resource linkage.

+ Maintain up-to-date knowledge of community resources and service availability.

+ Provide dementia education, caregiver support, and symptom management coaching under the supervision and guidance of the interdisciplinary care team.

+ Serve as a trusted liaison between patients, families, health care providers, and community resources.

+ Maintain regular contact with patients and families per CMS and internal program protocols.

+ Document all client interactions accurately and timely manner within the electronic health record and other tracking systems. (Epic and Craniometrix software)

+ Participate in weekly interdisciplinary team meetings.

+ Engage in ongoing job training and development, including required initial and continuing education on dementia care.

+ Travel to patient homes and community-based sites as required.

+ Assist with collecting questionnaires required by CMS for initial and annual patient alignment.

+ Adhere to all HIPAA, CMS, and JHU policies regarding privacy, documentation, and safety.

Special Knowledge, Skills, and Abilities

+ Strong organizational skills with attention to detail and follow-through.

+ Ability to work independently and manage multiple priorities.

+ Excellent interpersonal communication skills and ability to build trust with diverse populations.

+ Ability to work with computer software (e.g., Microsoft Excel, Outlook, Teams), general computer and communications skills, including telecommunications (e.g., Zoom meetings).

+ Knowledge of or capacity to quickly gain comfort with EPIC (the JH EMR); care navigation software programs (Craniometrix), and other software programs as needed.

+ Capacity to adapt to evolving clinical protocols.

+ Commitment to working from a culturally humble, person-centered care model.

+ Flexibility, patience, and problem-solving skills are required when working with multi-system environments.

Minimum Qualifications

+ High School Diploma or graduation equivalent.

+ Two years related experience.

+ Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

+ Associate’s or Bachelor's dDgree in a relevant field.

+ Completion of Maryland State Community Health Worker certification within 13 months of hire (training support provided).

+ Additional education may substitute for required experience, to the extent permitted by the JHU equivalency formula.

+ Reliable transportation (employer coverage of mileage reimbursement following FLSA and at the Federally determined rate).

+ Experience supporting older adults, caregivers, or individuals living with dementia.

+ Experience with case management or patient navigation.

+ Lived experience caring for individuals with chronic illness or dementia.

+ Residency or strong familiarity with the local Maryland counties served.

Classified Title: Community Outreach Specialist

Role/Level/Range: ACRO37.5/02/CC

Starting Salary Range: $15.70 - $26.25 HRLY ($43,680 targeted; Commensurate w/exp.)

Employee group: Full Time

Schedule: Monday -Friday 8:30am- 5:00pm

FLSA Status: Non-Exempt

Department name: SOM Psy General Psychiatry

Personnel area: School of Medicine

The listed salary range represents the minimum and maximum Johns Hopkins University offers for this position, based on a good faith estimate at the time of posting. Actual compensation will vary depending on factors such as location, skills, experience, market conditions, education, and internal equity. Not all candidates will qualify for the highest salary in the range.

Johns Hopkins provides a comprehensive benefits package supporting health, career, and retirement. Learn more: https://hr.jhu.edu/benefits-worklife/.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf