The Community Health Worker will serve as a liaison/link/intermediary between CCHC and the community to facilitate access to services and improve the quality and cultural competence of service delivery. They will be responsible for building capacity by increasing health knowledge and self-sufficiency through a range of activities such as , outreach, community education, workshops, support and advocacy. Acts as the primary liaison between the patient and the program. Responsible for implementing the comprehensive care plan to each patient as determined upon enrollment in the program. The Community Health Worker ensures that the patient is connected to prevention and treatment services and ensures that the patient adheres to the established plan of care.
Responsibilities:
- Distribute program flyers, leaflets, and other forms of marketing materials to internal and external referral sources including but not limited to hospitals, treatment providers, clinics, and managed care organizations.
- Participate in community meetings or health fairs to understand community issues and build relationships with community members.
- Provide health information awareness workshops.
- Provide structured patient education on health coverage, facilitate enrollment, engage in follow-up conversations, and offer renewal assistance for enrolled individuals.
- Acts as a member of multi-disciplinary teams that improve the delivery and quality of health care.
- Supports outreach/enrollment assistance workers (current and newly supported) and must comply with and successfully complete all applicable federal and/or state consumer assistance training required for personnel carrying out consumer assistance functions.
- Conduct patient outreach and engagement activities, including face-to-face, mail, electronic, and telephone contact.
- Identify and assist with SDOH screening instruments to identify care gaps and the appropriate level of care.
- Acts as the primary liaison with medical providers to ensure patient adherence.
- Identify available community-based resources and actively manage appropriate referrals, access, engagement, follow-up, and coordination of services.
- Conduct initial patient screening/intake to determine eligibility for treatment and care services.
- Coordinate schedule for a patient initial visit.
- Provide health care and social service navigation (interdepartmental and externally)
- Conduct periodic patient assessments, including assessing barriers and assets, patient and family caregiver preferences, and cultural preferences
- Documents all patient encounters and enters all data into electronic medical records and is responsible for performing grant-related data entry.
- Timely documenting in DAP format of advocacy, assessment, planning, and casework service.
- Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars, and other professional development opportunities.
- Ensures that medication adherence issues are addressed
- Generate monthly utilization report
- Participate in clinical huddles and care team meetings
- Serve as liaison to clinical and non-clinical services
- Other duties as assigned
Minimal Qualifications/
Experience/
Skills: - Minimum of a high school diploma or associate or degree, bachelor’s degree preferred.
- Experience with community engagement and outreach activities.
- Minimum two years of experience working with diverse populations in a community setting.
- Experience with servicing persons with substance use/abuse and knowledge of treatment facility resources is preferred.
- Completion of the Community Health Worker program at an educational institution is preferred.
- Thorough knowledge of the assigned community and its residents, state social service agencies, and community resources.
- Excellent communication skills, compassion for assisting others, and commitment to being a community ambassador.
- Ability to work with vulnerable populations in a non-judgmental manner.
- Basic knowledge of health education, motivational strategies, and empathy in working with the underserved is preferred.
- Must communicate effectively orally and in writing and experience using computer software/platforms.
- Ability to always remain professional when communicating with patients, staff members, community partners, external agencies, etc.
- Ability to work as a member of a multi-disciplinary team.
- Must be able to multi-task, have initiative and be self-directed.
- Ability to work some evenings/weekends and must be flexible with hours to accommodate participant needs.
- An automobile, valid driver’s license, and vehicle insurance are required.
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