Community Health Worker - Chronic Disease

Cleveland Clinic

1d•Hybrid

About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Community Health Worker (CHW) working with our Chronic Disease population, you will play a vital role in connecting diverse and underserved populations to health and social service systems. In this role, you will primarily work in the community with specific target populations, collaborating with medical providers, primary care teams, and other agencies to improve patient care and outcomes. CHWs bring a close understanding of the communities they serve, building trusting relationships that allow them to act as a liaison between health and social services and the community. This helps improve access to services and the cultural quality of care, while also building community and individual capacity through education, outreach, counseling, support, and advocacy. A caregiver in this position works Monday through Friday from 8:30 a.m. – 5:00 p.m., with the ability to travel locally up to 20% of the time.

Requirements

High school diploma/GED
Valid driver’s license
Knowledge of community resources
Community Health Worker (CHW) Certification and be certified as a CHW through the Board of Nursing
Ability to develop trusting and effective working relationships
Strong information gathering, interviewing and time management skills

Nice To Haves

One year of experience in a medical office setting
Two years of community service experience
Bilingual in English and Spanish
Medical Assistant training or Medical Assistant certification
Knowledge of medical terminology
Knowledge of the Electronic Medical Record (EMR)

Responsibilities

Establish trusting relationships with patients and their families while providing support, encouragement and feedback.
Coach patients in effective management of their chronic health conditions and self-care.
Convey the purposes and services of a program to the user population and the impact the program or service would have.
Assist patients in understanding care plans and instructions.
Visit patients in their homes as needed to assess the patient, their living conditions, and meet with family members or caretakers.
Document activities, service plans, and results in an effective manner while strictly adhering to the policies and procedures in place.
Advocate for patients and act as a liaison between the patient/family and community service agencies (schools, hospitals, support groups, etc.).
Help patients in utilizing resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible.
Assist patients in accessing health related services, including but not limited to: obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and social services.
Facilitate communication and coordinate services between providers.
Motivate patients to be active, engaged participants in their health.
Effectively work with people (staff, clients, doctors, agencies, etc.) from diverse backgrounds in reducing cultural and socio-economic barriers between clients and institutions.
Build and maintain positive working relationships with the clients, providers, nurse case managers, agency representatives, supervisors and office staff.
Continuously expand knowledge and understanding of community resources, services and programs provided, human relations and the procedures used in dealing with the public as part of a service or program, volunteer resources and the practices associated with using volunteers, operations, functions, policies and procedures associated with the department or program area, and procedures and resources available to handle new, unusual or different situations.