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19 Jun 2020

Full-Time Complex Care Coach (CCC)

Public Health Solutions – Posted by Public Health Solutions Anywhere

Job Description

Company Overview:

Health disparities among New Yorkers are large, persistent and increasing. Public Health Solutions (PHS) exists to change that trajectory, and support vulnerable New York City families in achieving optimal health and building pathways to reach their potential.


As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable low-income families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. To learn more about our work, please visit


Position Summary:

PHS is hiring a Complex Care Coach (CCC) to support an exciting project, WholeYou, launching Summer 2020 in partnership with a local managed care organization.  The Complex Care Coach will be responsible for meaningfully connecting high-need people living with HIV and AIDS (PLWHA) to clinical and community support services across New York City using an online referral technology platform.  The CCC will be responsible for screening and assessing high-risk managed-care members to identify appropriate resources and follow up with individuals for three to six months of engagement to ensure access to effective care and community resources. The Coach may also assist the PHS program team with data collection to understand the demographics and risk stratification of persons screened, referred, and engaged in services throughout the program.

This work will be done over the phone.

The CCC will work under the supervision of the Director Healthcare-Community Partnerships and work closely with other members of the Healthcare Community Partnerships team and possible interaction with other teams within PHS’ Neighborhood Health Division as needed.


Specifically, the Complex Care Coach (CCC) will:

  • Screen, refer, and assist PLWHA to access priority clinical services and social support services as part of WholeYou
  • Identify additional resources for members’ social needs such as housing, emergency food, SNAP (food stamps), immigration support available on the Unite NYC platform and refer appropriately.
  • Provide support and follow-up to members to determine if services are received.
  • Become familiar with the referral platform UniteNYC and Peer Place, including the functions of each, workflow for most efficient use of each platform, and reporting.
  • Provide feedback on workflows and assist with troubleshooting to improve processes.
  • Develop and maintain thorough knowledge of the organizations in WholeYou program and in the Unite NYC platform.
  • Perform other related duties as assigned.



  • 2-3 years of work focused on community engagement, community health work, supporting enrollment in services, and working with vulnerable New Yorkers to increase access to services
  • Strong enthusiasm for conducting outreach, helping people identify their goals, and connecting them to services
  • Training and experience in using Motivational Interviewing tools and Goal Setting techniques preferred
  • A. or B.S. degree with coursework in community health or related field, preferred
  • Bilingual in Spanish, preferred
  • Ability to work remotely as needed
  • Impeccable phone manners
  • Ability to track and document tasks precisely in multiple software tools
  • Strong interpersonal and listening skills and outgoing personality
  • Non-judgmental attitude and ability to show empathy
  • High-degree of self-organization and ability to work independently
  • Excellent verbal and written communications skills
  • Interest in, and commitment to, serving and advocating for people of diverse backgrounds;
  • Ability to relate positively to a wide variety of people and work effectively with a diverse work team; possess cultural competency skills
  • Knowledge and experience working with vulnerable populations strongly preferred
  • Knowledge and experience of Community Based Organizations and Social Services available to New Yorkers


PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, lesbian, gay, bisexual and transgender individuals, and veterans.

How to Apply

Please Apply Here:

Job Categories: Equal Opportunities. Job Types: Full-Time. Salaries: 40,000 - 60,000.

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