Job Description
Job Description
Why Join Grace at Home?
Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.
About the Job
As part of the team, you’ll help bridge the human and medical sides of care. You will listen, connect, and elevate stories that matter, helping Family Members feel supported on their journey. This role combines the community-rooted presence of outreach specialists with the wraparound support of care guides.
Responsibilities
- Engage Family Members where they live, worship, and gather (homes, porches, churches, senior centers, neighborhood stores).
- Conduct in-person and phone outreach with high-risk, rising-risk, or newly discharged Family Members.
- Build trust through consistent presence and culturally aligned, empathetic communication.
- Surface and help address barriers to care such as food insecurity, transportation, housing, directly or through referral.
- Assist Family Members with paperwork for social services and basic support needs.
- Support in-home technology setup (e.g., blood pressure cuff, stethoscope) to enable virtual visits and connect Family Members with the broader care team.
- Provide warm handoffs and referrals to care team members and trusted partners and follow up to ensure needs are met.
- Serve as a consistent point of contact, adjusting outreach frequency (including in-home visits) based on Family Member needs.
- Collaborate with nurses, social workers, and other team members during case huddles and planning sessions.
- Refer Family Members to the interdisciplinary care team for additional support with medical and behavioral support services and attend visits where appropriate to support building trust.
- Document interactions, insights, and emerging needs in CINQIQ and track trust / engagement levels.
- Represent the company at community events and maintain a local map of trusted people and places.
Qualifications
Associate degree or a combination of education and experience required; B.S. or B.A. preferred.1–3 years of experience in community-based outreach, health education, or related work.Valid driver's license and reliable transportation preferred (varies by region).Background check and training required prior to field deployment.Bilingual or multilingual (e.g., Spanish, Haitian Creole, Russian) is a plus.Benefits
Financial Well-being
Competitive Compensation : We offer competitive salaries to attract and retain the best talent.401(k) with Employer Match : Plan for your future with our 401(k) plan and a generous 4% employer match.Health and Wellness
Comprehensive Medical Plan : We proudly offer a comprehensive medical option with an employer contribution.Dental & Vision Coverage : Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.Employer-Paid Insurance : Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.Generous Paid Time Off : Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.Additional Perks
Continuing Medical Education (CME) Allowance for Providers : Stay at the forefront of your field with our CME allowance.Commuter Benefits : Save on your commute with our commuter benefits program.Mileage Reimbursement : Get reimbursed for work-related travel expenses.The working environment and physical requirements of the job include :
This position requires in-home, assisted living, and independent-living community-based work. The job requires frequent travel for patient visits in all types of weather conditions. Work may be performed in settings with conditioned air, artificial light, and an open workspace.
Equal Opportunity & Reasonable Accommodation Statement
Grace at Home is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.
If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.