NNORC Community Health Nurse; Health Promoter and Health Educator

The Albany Neighborhood Naturally Occurring Retirement Community (NNORC) program helps people aged 60 and over age in place. NNORC staff coordinates services and community resources that help older adults maintain their quality of life and independence, access services, and remain connected to their neighborhoods. By supporting aging in place, NNORC not only helps older adults but contributes to the diversity and stability of their neighborhoods.

Full time position or Part time

Reports To: NNORC Director

Job Description: The Community Health Nurse (CHN) provides a variety of group and individual health screening and health education activities, consultation services, and provides healthcare/medical case management services to residents living in the NNORC catchment area.

The is a wonderful and unique opportunity to work closely with older adults in the role of advocate, evaluator, health educator and health promoter while also offering and providing health monitoring services. The ideal candidate will be able to foster relationships with older adults living in a special six square mile area in Albany and work collaboratively with agency staff and key community partners to help the residents live in their homes and stay active in the community.

Health Education: This CHN supports residents of the NNORC by 1) providing person-centered health-based support and care coordination, 2) providing NNORC residents with a variety of health education opportunities and 3) engaging in outreach activities designed to identify NNORC residents who have immediate and ongoing medical and health care needs. The CHN also provides warm referrals for residents who have unmet social needs. The CHN is a key member of the NNORC team and will also participate in NNORC social activities and community programs.

Health Promotion and Health Monitoring: The CHN is a grant funded position through the NYS Office for the Aging to provide non-reimbursable, individual healthcare consultation and assist residents manage chronic conditions, respond to acute, but non-emergent, episodes, and help residents access and navigate the healthcare system. The CHN engages residents in the assessment and care planning process, helps with arranging and coordinating services and provides follow-up and monitoring at least every two months for all residents receiving healthcare management assistance and healthcare monitoring services.

Responsibilities and Duties:

  • Serve as a key resource for residents by addressing health-related questions, concerns, and care needs, and guide and facilitate access to providers and services
  • Collaborate with health care providers to assist residents with the coordination of medical and healthcare services and supports
  • Develop and maintain professional relationships with key community partners
  • Complete intakes, assessments, consents, releases, internal referrals, and documentation
  • Improve treatment outcomes by evaluating and re-designing processes, implementing and revising policies and procedures
  • Coordinate with team members and participate in team and general staff meetings
  • Offer educational outreach to residents
  • Plan, direct, and coordinate health care assistance and management programs and activities
  • Monitor, evaluate, and redesign programs and activities and implement necessary improvements
  • Conduct telephone and in-person assessments and document resident needs sufficient to make appropriate referrals
  • Conduct regular blood pressure screenings clinics
  • Assist with new member outreach and engagement
  • Perform other appropriate duties as requested by Director of Neighborhood Naturally Occurring Retirement Community (NNORC) or CEO

** Direct care (i.e., poring meds, lifting, positioning, and other skilled service activities) to residents is not required or allowed. **


  • A graduate of an accredited School of Nursing.  Bachelor’s Degree preferred
  • At least 3 years’ experience in Community and Public Health Nursing
  • Excellent oral, written, and telephone communication skills
  • Excellent organizational skills
  • Excellent communication and presentation and public speaking skills
  • Ability to work independently
  • Ability to work effectively within the medical community
  • Must be self-motivated and efficient, with a professional image and attitude
  • Knowledge of prevention and management strategies for a variety of common chronic health conditions (i.e., hypertension, diabetes, heart attack/stroke, Alzheimer’s disease, and other dementias)
  • Must have experience working with older adults aged 60 and over
  • Ability to collaborate well with team members, outside agencies and service providers
  • Proficient with Microsoft Office 365, Excel and PowerPoint
  • Valid New York State driver’s license with reliable, personal transportation
  • Ability to travel throughout the greater Capital Region, as needed.

For consideration, please submit a resume and cover letter to:
Jewish Family Services, Attn: Human Resources,
184 Washington Extension, Albany, NY 12203 or

Competitive benefit packages include health insurance, vision, dental, and retirement plans. Flexible hours, including some evenings and occasional weekends; option to work remotely when possible

Jewish Family Services, a non-sectarian human service organization founded in 1854, provides professional services to assist all individuals and families of all backgrounds who are coping with life challenges and transitions. All potential employees of JFS subject to criminal background check.