•Work with clients in the GRHHN/HHUNY health home program per CMS and NYSDOH regulations and procedures•Provide assistance with housing, transportation, food, clothing and other barriers to optimum health •Create an individualized comprehensive plan of care with each client to meet their needs in collaboration with service team/providers•Provide comprehensive care management including self-support, health promotion, connection to providers, community organizations, social supports, transitions of care, and crisis support

Research Associate for the Neighborhood Collaborative Project in Rochester, New York. The NCP is a collaborative effort between multiple community-based organizations to bring services back into Rochester neighborhoods to create an agile, responsive services system, build resident capacity to problem-solve, and meet community needs.