Summary:

The Nutrition Case Manager supports The Dimock Center Pediatric Clinic families’ access to healthy foods, access to nutrition education, and achievement of fitness goals. The Nutrition Case Manager works with families that are eligible for and enrolled in the Fitness in the City/Healthy in the City program partnership with Boston Children’s Hospital. The Nutrition Case Manager works within the Resource Care Program, and will work alongside our Resource Specialists to provide referrals and information to address patients’ social barriers to good health when not working with FIC participants.

Essential Functions:

1. Nutrition Case management
   1. Outreach to and meet with eligible patients in our pediatrics clinic to do the following:
      1. Conduct intake and enrollment of patients that are eligible and interested in enrolling in Fitness in the City/Healthy in the City
      2. Discuss nutrition/fitness behaviors
      3. Set behavior change goal to work towards
      4. Provide education and resources to achieve goal
      5. Follow up with enrollees over the course of one year to discuss progress, provide support, reconnect to resources, act as motivating health coach
   2. Host/create events that promote program enrollment, community engagement
   3. Assist with maintaining community partnership with BCH’s FITC program:
      1. Submit regular grant reporting
      2. Meet with grant program coordinator for training, program maintenance
2. Outreach to and follow up with clients outside of FIC eligibility that identify having a social determinant of health need
3. Conduct social determinants of health screenings to identify clients’ barriers
4. Provide referrals to government- and community-based organizations to address patients’ social needs
5. Liaise with government resources and community-based organizations to advocate for patients’ needs
6. Coordinate with clients’ primary care and behavioral health providers on needed letters, forms for resource referral
7. Use technologies to engage patients (phone, secure email)
8. Participate in meetings and trainings with integrated care teams
9. Organize and track case files on electronic medical record
10. Track referrals to generate reports on utilization
11. Keep up-to-date with community resources, participate in trainings regarding this area
12. Provide ongoing feedback to the team on improving efficiency, new resource offerings

Competencies

1. Excellent interpersonal and communication skills (written & verbal)
2. Engage in communication and relationship-building with patients, their guardians, and community organizations
3. Excellent problem-solving skills and receptive to constructive feedback, creativity in finding solutions and in community engagement methods
4. Culturally sensitive, embraces diversity, and is focused on patients and their needs
5. Respects confidentiality and is ethical
6. Ability to manage multiple priorities and meet deadlines, is reliable
7. Ability to adapt to new software systems and technologies
8. Flexibility to adjust to health center’s policies, procedures and regulations
9. Spanish proficiency preferred
10. Microsoft office proficiency preferred

Work Environment
This job might operate in an office/clinical environment, at the health center dealing with patients of diverse background, nationalities and ages.

Physical Demands

1. Duties may require standing and walking, or sitting for long periods of time, and/or reaching.
2. May need to lift items such as clothing donations, food donations – up to 25lbs at a time

Required Education and Experience

1. High School Diploma or equivalent; Associate Degree or Bachelor's degree in health science, nutrition, public health preferred; Community Health Worker Certification preferred
2. Experience working in a health care setting preferred ; medical terminology knowledge
3. Demonstrated ability to manage multiple patients and diverse tasks.
4. Reference Checks demonstrate strong work ethic and values

Salary

The range for this role is $20 - $27/hr