Job SummaryWorks within the community providing outreach to patients with complex medical and social needs. Acts as a resource to assist patients in navigating the health care system.Job DutiesOrients and assesses new Community Health Workers.Provides regular assessment of the level of proficiency demonstrated by staff during the orientation period in order to support decisions to move staff along in training or refocus until proficiency is met.Assists in the identification and outreach of medically complex patients.Collaborates with the multidisciplinary team in the development and implementation of the care plan.Engages patients by way of phone call, home visit, hos