Work in the neighborhoods where patients reside connecting and linking patients and their families to resources and the care they need. Serves as a member of the care model team enabling population health in the community by building trust and vital relationships with residents of assigned medical neighborhood. Essential Functions. All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Develops strategic partnerships in the community to support community outreach and referrals. Establishes peer-to-peer relationship in order to function as a link between the community and the health system. Provides guidance and support for patients through home visits and support of care coordination programs. Conducts home visits to Community Health Worker (CHW) clients. Assists individuals within their community in managing their own health including promoting compliance with appointments, screenings, ...Health, Worker, High School, Healthcare, Patient