Community Health Worker Senior - Grant Programs

CHRISTUS Health • Alamogordo, NM

2d

About The Position

The Community Health Worker (CHW) provides culturally appropriate support and information to patients and their families through structured visits and follow-up phone calls in a variety of settings, including patients’ homes. The role uses knowledge of community resources to connect patients with healthcare and social services and help them understand how to access and use those services, including managing their Patient Health Record (PHR).

The CHW takes a holistic, interdisciplinary approach to care management and health promotion. The role builds relationships with patients, families, healthcare providers, community members, and community leaders; coordinates charitable programs as applicable; and supports patients in adopting healthy lifestyles and making health behavior changes.

Requirements

• Bachelor’s degree preferred.

Responsibilities

• Conduct advanced outreach to the community.
• Provide culturally appropriate support and information to patients and their families through structured visits and follow-up phone calls, including in patients’ homes.
• Use knowledge of community resources to refer patients to appropriate services.
• Help patients understand how to use healthcare and social services and manage their Patient Health Record (PHR).
• Build relationships with patients, their families, healthcare providers, and the community.
• Help patients find and understand how to use a Medical Home, pharmacy assistance programs, dental services, diagnostic services, transportation, behavioral health services, and other needed services.
• Refer patients to healthcare and social services and follow up on all referrals.
• Follow evidence-based care pathways designed and selected to address patients’ specific health and social concerns and problems.
• Document activities in accordance with organizational policies and procedures.
• Maintain the patient registry.
• Consult with the administrative and clinical supervisors to coordinate activities and schedules and address identified patient healthcare needs.
• Educate patients and their families about healthy lifestyles and promote health behavior change.
• Encourage patients to set goals, identify barriers and challenges, and monitor their own conditions.
• Develop relationships with community leaders.
• May coordinate charitable programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior