Summary
The Nutrition Case Manager supports The Dimock Center Pediatric Clinic families’ access to healthy foods, 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
Nutrition Case management
Outreach to and meet with eligible patients in our pediatrics clinic to do the following:
Conduct intake and enrollment of patients that are eligible and interested in enrolling in Fitness in the City/Healthy in the City
Discuss nutrition/fitness behaviors
Set behavior change goal to work towards
Provide education and resources to achieve goal
Follow up with enrollees over the course of one year to discuss progress, provide support, reconnect to resources, act as motivating health coach
Host/create events that promote program enrollment, community engagement
Assist with maintaining community partnership with BCH’s FITC program:
Submit regular grant reporting
Meet with grant program coordinator for training, program maintenance
Outreach to and follow up with clients outside of FIC eligibility that identify having a social determinant of health need
Conduct social determinants of health screenings to identify clients’ barriers
Provide referrals to government- and community-based organizations to address patients’ social needs
Liaise with government resources and community-based organizations to advocate for patients’ needs
Coordinate with clients’ primary care and behavioral health providers on needed letters, forms for resource referral
Use technologies to engage patients (phone, secure email)
Participate in meetings and trainings with integrated care teams
Organize and track case files on electronic medical record
Track referrals to generate reports on utilization
Keep up-to-date with community resources, participate in trainings regarding this area
Provide ongoing feedback to the team on improving efficiency, new resource offerings
Competencies
Excellent interpersonal and communication skills (written & verbal)
Engage in communication and relationship-building with patients, their guardians, and community organizations
Excellent problem-solving skills and receptive to constructive feedback, creativity in finding solutions and in community engagement methods
Culturally sensitive, embraces diversity, and is focused on patients and their needs
Respects confidentiality and is ethical
Ability to manage multiple priorities and meet deadlines, is reliable
Ability to adapt to new software systems and technologies
Flexibility to adjust to health center’s policies, procedures and regulations
Spanish proficiency preferred
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
Duties may require standing and walking, or sitting for long periods of time, and/or reaching.
May need to lift items such as clothing donations, food donations – up to 25lbs at a time
Required Education and Experience
High School Diploma or equivalent; Associate Degree or Bachelor's degree in health science, nutrition, public health preferred; Community Health Worker Certification preferred
Experience working in a health care setting preferred; medical terminology knowledge
Demonstrated ability to manage multiple patients and diverse tasks.
Reference Checks demonstrate strong work ethic and values