Job Description

Specific Duties & Responsibilities



Client Navigation & Clinical Coordination

Provide trauma-informed, culturally sensitive health navigation for clients, including survivors of human trafficking and torture.
Conduct screenings for behavioral health and substance use concerns using validated tools; deliver brief interventions for mild behavioral health concerns under clinical guidance.
Assist clients in understanding and navigating the healthcare system, including insurance enrollment, referrals, and follow-up appointments.
Coordinate directly with therapists, physicians, psychiatrists, and case managers to support ongoing care plans.
Provide ad hoc Spanish-language interpretation to support client communication and clinical encounters.
Support the implementation and facilitation of Spanish-language peer support and psychoeducation groups for youth and caregivers.


Program Implementation & Operational Support

Maintain accurate and timely documentation in HIPAA-compliant systems; ensure adherence to grant and institutional reporting requirements.
Collaborate with HEAL leadership and partners to implement and refine the Behavioral Health Integration infrastructure within the HEAL Primary Care program.
Contribute to the design, curriculum development, and facilitation of psychoeducational groups for immigrant youth and families.
Maintain a robust referral network to primary care, specialty services, mental health care, and supportive community-based resources.
Assist in managing the pharmacy delivery program for patients, coordinating medication orders and tracking distribution.


Community Engagement & Outreach

Build and maintain trusting relationships with clients to better understand their barriers to care and offer holistic, sustainable solutions.
Serve as a liaison between HEAL clinicians and community partners at AWE and other organizations, helping to coordinate care across systems.
Participate in community outreach and engagement activities; serve as a resource to community leaders and partner organizations.
Attend and contribute to case conferences, staff meetings, multidisciplinary care discussions, and program planning sessions.


Quality Improvement & Evaluation

Track and monitor programmatic outcomes related to clinical access, client satisfaction, and care coordination.
Support grant compliance through detailed case tracking and data collection aligned with funder requirements.
Contribute to continuous quality improvement efforts by integrating client feedback and participating in HEAL’s M&E initiatives.


Leadership Competencies

Demonstrate knowledge of communities served.
Excellent relationship building skills.
Inspiring and mission-driven approach.
Emotional intelligence.
Effective communication skills
Demonstrate compassion and understanding of health disparities and social determinants of health.


Additional Skills, Knowledge and Abilities

Strong understanding of and sensitivity to trauma, migration stressors, and the social determinants of health.
Ability to work collaboratively within a multidisciplinary team and across clinical and community-based settings.
Excellent interpersonal and communication skills, including the ability to build trust with clients and navigate emotionally challenging situations with compassion.
Proficiency with Microsoft Office (Word, Excel), Google Suite, and experience using electronic health records or secure data systems.
Must be able to use independent judgment and give exceptional attention to detail.
Flexibility, adaptability, and a deep commitment to health equity and social justice.


Minimum Qualifications
Bachelor's Degree
Some related experience in a medical office environment
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.