Community Health Worker II - Revere Pediatrics

Mass General Brigham•Revere, MA

1d•$21 - $30•Onsite

About The Position

Responsible for providing advanced health education, outreach, and care coordination services to individuals and families in the community. Areas could include exercise, mental health, medication management, nutrition, health care system navigation, substance use and other health behaviors. They work closely with healthcare providers to ensure that patients receive appropriate care and support services to improve health outcomes. MGBfC strives to advance health equity, improve health outcomes, and promote the well-being for all of our patients by addressing health-related social needs, working and overcoming barriers to accessing care. Community Health Workers (CHWs) are an integral part of achieving these goals. CHWs use their unique skills (knowledge of community resources, motivational interviewing, trauma sensitive care, health coaching, etc.) to help patients coordinate their healthcare, address unmet health-related social needs, and gain confidence in managing their family’s health needs. By walking alongside their patients and families, CHWs promote self-efficacy, help patients set and meet their goals, and improve health outcomes. The MGBfC Community Health Worker is embedded within pediatric primary care, collaborating closely with the multidisciplinary primary care team in order to support families with basic care coordination, assessment of unmet health-related social needs, and navigation to appropriate hospital and community resources to address identified needs. While the Community Health Worker is not a clinical role, it requires a strong knowledge of or the ability to learn basic medical concepts and an understanding of when a referral to a licensed clinician is appropriate.

Requirements

Bachelor's Degree Public Health required or Bachelor's Degree Social Work required or Bachelor's Degree Related Field of Study required
experience in community health outreach, health education, or related field 2-3 years required
Demonstrated ability to work effectively and provide advocacy for all populations and communities.
Strong communication and interpersonal skills, with the ability to interact effectively with various populations.
Ability to work independently and as part of a team.
Basic computer skills, including Microsoft Office and database management.

Nice To Haves

Community Health Worker [CHW - Massachusetts License] - Massachusetts Board of Allied Health Professionals preferred
Bilingual skills preferred.

Responsibilities

Conduct in-depth assessments of patient needs, goals, and barriers to achieving good health outcomes
Provide advanced health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions
Collaborate with healthcare providers to develop and implement care plans for patients with complex health needs
Assist patients in navigating the healthcare system and accessing appropriate services, including health insurance and social services
Provide ongoing follow-up and support to patients to ensure continuity of care and successful achievement of health goals
Develop and implement health promotion programs and activities to address community health needs
Collect data and maintain accurate records of patient interactions and outcomes
Attend meetings and trainings related to community health promotion and education
Conduct outreach, engagement, and in-depth assessment of patient needs, goals, strengths, and barriers to care
Assist patients in navigating healthcare, social service, and educational systems and access resources
Support families with applications and referrals for community resources and benefits Examples to include disability supports, community mental and behavioral health resources, autism supports
Provide ongoing follow-up and support to patients to ensure continuity of care and successful achievement of goals
Collaborate with healthcare providers to develop and implement care plans for patients with complex health needs
Facilitate communication between schools and physician Supporting requests for school evaluations Communicating with schools around observed needs and challenges faced by students
Maintain knowledge of longer-term network and community care coordination and social service support programs to referrer patients requiring longer term engagement.
Provide health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions
Maintain accurate data collection and documentation of all patient interactions and outcomes
Additional tasks as assigned by manager