Conduct initial client intake and set-up appointments with Managing Nurse Practitioner as appropriate
Provide clients with ongoing follow-up, motivational interviews and assist with goal-setting
Provide referrals for services to community agencies as appropriate
Follow-up with clients via phone calls, home visits and group meetings
Assist clients with medication review and understanding directives from PCPs
Help clients connect with transportation resources and give appointment reminders
Provide consistent communication to evaluate client/family status, ensuring that provided information, and reports clearly describe progress
Assist clients with completing applications and registration forms
Work closely with Primary Care Physicians to help ensure that clients have comprehensive and coordinated care. Follow-up with patients should be continuous from initial identification through closure
Establish trusting relationships with clients and their families while providing general support and encouragement Attend all project workgroup meetings
Work cooperatively with other personnel assigned to the same client
Convene group meetings with clients to establish social support network for lifestyle change
Help clients attend appointments
Track and report client participation and feedback on project activities
Requirements
chw certification
microsoft office
spanish fluency
cpr certification
medicare knowledge
underserved experience
Previous experience as a Community Health Worker preferred
Excellent written and verbal communication skills
Proficient in Microsoft Office suite, especially Excel and Word
Community Health Worker Certification required or school experience equivalent
Be knowledgeable about community resources appropriate to needs of client/families.
Experience working in underserved communities
Entrepreneurial spirit and customer-service attitude/orientation
Fluent in Spanish language, including basic medical terminology
CPR Certification
Exhibit excellent working relations with clients, visitors and staff, effectively communicating program mission
Knowledge of Medicare requirements
Ability to take direction as well as solve problems proactively
Detail oriented and highly organized
Benefits
Information not given or found
Training + Development
Information not given or found
Interview process
Information not given or found
Visa Sponsorship
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Security clearance
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Company
Overview
Founded with a mission to revitalize neighborhoods and provide affordable housing opportunities.
Focus on creating sustainable communities through development, advocacy, and support services.
Specializes in the construction, preservation, and management of affordable housing properties.
Works closely with local residents, helping them access career development, financial literacy, and educational resources.
Supports economic growth by creating jobs and offering workforce training programs.
Leverages community-based partnerships to improve local infrastructure and ensure long-term impact.
Has developed numerous residential buildings and affordable housing projects across multiple neighborhoods.
Invests in the arts, culture, and wellness, promoting a holistic approach to community improvement.
A key player in tackling urban displacement and supporting underserved populations in New York.
Culture + Values
353 volunteers
Active community volunteers
Volunteers contribute to participatory budgeting initiatives, reflecting the company's commitment to community engagement.
5,694 participants
Engaged community members
Participants in participatory budgeting initiatives demonstrate strong community involvement in decision-making processes.
1,000 recipients
Annual toy-drive support
The company annually provides holiday gifts to over 1,000 individuals, showcasing its dedication to community well-being.
Our inclusive approach helps us achieve our mission to unleash the potential of communities to thrive, no matter the odds.
Holistic‑community revitalization model: building affordable housing as neighborhood asset foundation, then layering resource‑linking programs
Environment + Sustainability
100% Affordable
Multi-family Passive House
The first 100% affordable multi-family Passive House project in the U.S.
20% Energy Use
NYC Building Benchmark
Knickerbocker Commons uses only 20% of the energy of an average NYC building of the same size.
60–80% Energy Reduction
Bushwick Retrofit
A Passive House retrofit pilot project in Bushwick achieving significant energy savings.
50% Emissions Reduction
2033 Goal
A target to reduce emissions by 50% within a decade, with an additional 20% reduction in energy intensity.
Seven Passive House standard projects completed, including Knickerbocker Commons and Mennonite United.
Bethany Senior Terraces: fully-electrified PHIUS Passive House with rooftop solar array covering 100% common-area and ~80% of total building electricity.
1601 DeKalb affordable housing fully electric HVAC, designed to meet Enterprise Green Communities criteria.
Inclusion & Diversity
2020 Plan
Racial Equity Initiative
Comprehensive Racial Equity Action Plan adopted in 2020, spanning 10 categories such as Organizational Culture and Governance.
12‑Member Group
Internal Representation
Established a 12‑member Racial Equity Working Group representing all five divisions and infrastructure.
3 Cooperatives
Graduated Programs
Worker Coop Academy (2020–21) graduated 3 cooperatives, including Black‑led and Queer/Trans‑Black/Brown coops.
Launched Community Advisory Committee for community‑led input into decision‑making and program design.
Financial investment in leadership, mentorship and professional development of staff of color.