The Community Health Coordinator partners with patients, families, clinic staff, and the Licensed Clinical Social Worker (LCSW) to identify and address Social Determinants of Health (SDOH) needs and barriers to care that impact patient wellbeing. The CHW serves as a trusted liaison between patients and community resources, assisting with system navigation, resource linkage, and follow-up support to improve access to care, adherence to care plans, and overall health outcomes. This role focuses on connecting patients and families with community-based services, government programs, and social support. The CHC provides non-clinical care coordination, education, and advocacy under the supervision of the LCSW and works collaboratively with interdisciplinary teams to support patient-centered, culturally responsive care.