Serves as a key member of the healthcare team and is a primary resource for assisting community members in navigating the broad care system. Provides information about healthy behaviors and uses various approaches to support community members in reducing health-related risk behaviors in culturally competent ways that communities will understand and accept. Recognizes the importance of addressing the social determinants of health in guiding, supporting, and assisting community members to live healthier lives. With guidance from healthcare leadership, works closely with medical providers, primary care teams, faith communities and social services agencies to provide short term care coordination and connection to resources and support to improve health and well-being through education and provision of care coordination.