Community Health Specialist - ACCESS Blue Island

ACHN•Blue Island, IL

About The Position

Community Health Specialists connect and link patients who have barriers to care, support preventive aspects of health, assist patients in accessing psychosocial and/or health services, and support patient empowerment through health education and coaching. They develop and maintain collaborative relationships with community key stakeholders, gatekeepers, and other community organizations, assist patients in navigating health care and social transitions, and support patient empowerment through health education and coaching.

Requirements

High School diploma required
one (1) year customer service experience or two (2) years of experience is a public or private social service program or health care setting.
Basic familiarity with medical terminology

Nice To Haves

Bachelor’s degree preferred in a health-related field (social work, psychology, counseling, rehabilitation, gerontology, sociology, or other human service field).
Demonstrated knowledge of working in a community based or public health setting.
one (1) year call center or case management experience or two (2) years of experience in a public or private social service program or health care setting.
Intermediate proficiency with Microsoft Office products (specifically, Word, Excel, Outlook)
BLS/CPR Card

Responsibilities

Engage patient assigned or referred for community health specialist in a collaborative on-going relationship to help facilitate their care
Promote programs and services for families and provide health care and social information that encourages self-management
Market ACCESS programs and services and empower people to engage in the health programs
Educate on basic medical illness, diseases and/or behavioral health needs.
Assess patient’s strengths and needs and develop a plan for intervention. Care planning and coordination is done in collaboration with an interdisciplinary team
Provide ongoing follow-up with patients and/or service providers to determine whether patients have accessed services. Follow-up should be continuous from initial identification through case closure.
Make home visits and conduct case management activities in community settings as required by program guidelines
Conduct or co-lead group interventions as required by program guidelines
Serve as part of the patient’s care team and support health center operations and attainment of organizational metrics
Establish effective and respectful relationships with patients, families, professionals, payers and other relevant parties
Assist in developing/maintaining community referral relationships and effectively connecting patients and families to community resources
Engage in community planning groups and/or meetings to support the social and health care needs
Using information systems and decision support, maintain a risk-adjusted caseload, and provide direct case management services to address specific issues affecting their health risk or health status
Complete documentation and data entry as needed to assure optimal patient care and program reporting – track outcomes of outreach efforts
Participate in evaluating outcomes at the individual level with each patient and at the same time participate in agency-wide evaluative and quality improvement efforts
Obtain & maintain certifications/licensure/trainings as needed
Perform other duties assigned