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Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties. Will travel with the Neighborhood Health team, HHCs mobile healthcare program, which provides mobile healthcare clinics embedded within community locations to ensure all community members have access to equitable healthcare. Neighborhood Health team members meet at our satellite office locations and travel together in HHC fleet vehicles for mobile clinics. *_Job Description_* The Community Care Manager is an integral member of the Neighborhood Health team who provides in-person care management to patients of Neighborhood Health. The Care Manager contributes to meeting the health care, safety and comfort needs of patients and are performed in accordance with all existing regulatory, state and company standards, policies and procedures. Provides excellent customer service and support; exhibits strong active listening skills, as well as excellent written and verbal communication.. Key areas of responsibility • Responsible for patient navigation, addressing barriers impacting patient health and well-being. Connects patients to resources to address positive Social Determinants of Health (SDOH) screenings. Including, but not limited to, navigating the 211 system, accessing local food pantries and soup kitchens, obtaining transportation to medical appointments, and more. • Responsible for in-person care coordination through connections to primary, specialty and behavioral health care, in collaboration with the onsite provider. Also responsible for ongoing care coordination as needed based on the client’s individual needs. • Leads inpatient referral to street medicine program, managing all referrals from inpatient care management and social work departments by updating tracker and scheduling inpatient visits. Offers collaboration with the inpatient CM/SW and street medicine teams with consideration to unique medical and social needs. Engages with community resources to make post discharge connections as needed. Educates new team members on initiative and standard process. • Responsible for managing and updating repository of community resources, including organization name, location, scope of services and contact information. This repository serves as a team reference to ensure awareness of local offerings and connections for patients. • Provides education for patients, families, community, and other professionals regarding disease prevention, impact of illness and advocacy for benefits and health maintenance • Initiates appropriate action in urgent situations by adjusting priorities to address patient and/or colleague immediate issues. • Responsible for driving fleet vehicles to and from mobile events. • Responsible for restocking mobile equipment inventory • Transports of mobile equipment bins alongside team members. Load mobile equipment onto vehicles prior to office departure, offload upon arrival at location, load back onto vehicles at close of event and offload upon return to office. • Coverage required at multiple satellite locations • Perform other related duties as required Master of Social Work (MSW) or other Master’s-level in related field OR 3-5 years of experience in a related field, in lieu of education. LMSW/LCSW/CHW preferred. Community health work experience preferred. Valid Driver’s license within 3 Months (90 days) of hire date or job transfer date Ability to push/pull/lift 50 lbs. We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. **Job:** **Management / Administration* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Community Care Manager - Neighborhood Health* **Location:** *Connecticut-Norwich-11 Stott Ave Norwich (10364)* **Requisition ID:** *25161670*