Descrição
At Mid-State Health Center, care starts with people—and that includes our team. We’re a mission-driven, not-for-profit health center serving the people of central New Hampshire through compassionate, high-quality care. Our integrated model supports patients across primary care, behavioral health, dental, substance use treatment, advanced imaging, childcare, and so much more.
With nearly 15,000 patients served, our work reaches every corner of the community—and it all starts with a dedicated team. At Mid-State, you’ll be part of a supportive, collaborative environment that values whole-person care, innovation, and doing good—for those we serve and for one another.
We offer competitive pay based on experience and credentials, along with a comprehensive benefits package that includes health, dental, and vision insurance; a 403(b) retirement plan with match; paid time off and holidays; tuition reimbursement; professional development support; flexible spending accounts; life, cancer, and accident insurance; and access to an employee assistance program. More than a job, this is a place where your work matters and your impact is real.
- Mid-State Health Center is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status._
ORGANIZATIONAL MISSION:The mission of Mid-State Health Center is to provide sound primary care to the community, accessible to all regardless of their ability to pay.
SUPERVISION RECEIVED:Director of Quality, Compliance, and Patient Relations
ESSENTIAL FUNCTIONS:
- Consults and collaborates with clinicians and clinical staff on a wide range of issues, including finding resources for patients and chronic disease management.
- Advanced directives counseling.
- Supports patients and families in successfully following a comprehensive plan of care and the achievement of goals. Serves as a patient advocate.
- Collaborates as needed with appropriate internal and external resources and agencies in care planning.
- Assists patients with finding both short term and long-term solutions to problems related to resources (e.g. prescription assistance/housing)
- Review and address social needs surveys.
- Advocating for vulnerable populations or communities to receive services and resources to address health needs
- Proactively reach out to patients (via phone, mail, portal, or text) to schedule routine wellness visits, health screenings, chronic care follow-up, and address care gaps.
- Support patient portal enrollment and use to enhance engagement and access.
- Assess patients’ SDOH needs and connect them with community resources (e.g., transportation, housing, food support, insurance navigation).
- Cultivate partnerships with local social services, nonprofits, and community groups to streamline resource referrals.
- Collaborate with the quality team to manage outreach lists — targeting preventive care and chronic condition monitoring.
- Monitor follow-up on no-show or missed appointments and coordinate re-engagement strategies.
- Collaborate with the community relations team to represent the health center at community health fairs, school events, and other public outreach platforms.
- Organize and deliver health education presentations on preventive services, available programs, and health literacy.
- Assist with planning, materials creation, and logistics of community health events.
- Document all patient interactions and community activity results accurately and promptly.
- Work closely with primary care providers, quality teams, patient experience staff, and community partners to align outreach strategies.
- Participate actively in interdisciplinary meetings and quality improvement initiatives. Adhere to HIPAA, cultural competence standards, and health center policies to deliver equitable, confidential care.
EXPERIENCE: Experience working with underserved, vulnerable, and diverse populations and 2 years’ experience working in an ambulatory primary care or mental health care setting preferred.
EDUCATION:
Required: Associate or bachelor’s degree in social work, public health, or related field, OR 5+ years of equivalent experience in a health and/or social service field.
Preferred: Community Health Worker Certification, Certified Application Counselor (both will be required within 3 months of hire)
- * Resourcefulness - finding creative ways to solve problems.*:
* Problem-solving - analyzing a situation and working toward a solution.*:
* Critical thinking - evaluating information to make reasoned decisions.*:
* Self-sufficiency - being able to manage without constant help.*:
* Initiative - taking proactive steps without being told.*:
* Independent learning - seeking out knowledge and figuring things out.*:
** Adaptability - adjusting quickly wh