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The Johns Hopkins University Guiding and Improved Dementia Experience (GUIDE) program, funded by the Centers for Medicare and Medicaid Services (CMS), is seeking a dedicated and proactive **_Community Outreach Specialist_** . This individual will support persons with dementia and their caregivers in navigating resources, health care services, and social supports, with a focus on culturally competent, person-centered care.

The Community Outreach Specialist 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 Administrative Program Manager for the GUIDE Program and will work closely with an interdisciplinary care team.

Specific Duties & 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 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.

Minimum Qualifications

+ High school diploma or graduation equivalent.

+ Two years of related experience.

+ Additional education may substitute for required experience and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

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

+ 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

Job Posting Title (Working Title): Community Outreach Specialist (Psychiatry & Behavioral Sciences)

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

Starting Salary Range: $15.70 - $26.25 HRLY ($49,774 targeted; Commensurate w/exp.)

Employee group: Full Time

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

FLSA Status: Non-Exempt

Department name: SOM Psy Bay BV Geriatric and Neuropsychi

Personnel area: School of Medicine

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.