Community Health Worker (Social Determinants of Health)

Waikiki Health•Honolulu, HI

3d•$22

About The Position

The Community Health Worker (SDOH) is responsible for improving outcomes for high-risk patients, who utilize the ED/Hospital regularly and/or that have been identified using our Social Determinants of Health (SDOH) screening tool, PRAPARE. This position will help achieve better outcomes by working with an interdisciplinary team. The Community Health Worker (CHW) will assist in providing services during clinic hours, participating in huddles, patient intakes, education, and counseling, within clinic protocols.

Requirements

Familiarity with common software programs, (i.e. Windows-based programs) an ability to quickly learn new systems.
Ability to communicate effectively with patients, community members, and staff members.
Proficient in computer skills: typing, navigating through the internet and emails.
OSHA training.
BCLS biannually.

Responsibilities

The CHW is a patient advocate and facilitator of the Patient Centered Medical Home (PCMH) and its target population of high-risk SDOH patients and high ER/Hospital utilizers through the provision of health education, follow-up monitoring, and improvement of access to care.
Assess the patient’s social needs by completing and reviewing the SDOH PRAPARE assessment form.
Identify SDOH needs and providing appropriate social referrals and resources
Develops a specific, measurable, achievable, relevant, and time-bound (SMART) goal(s) with the patient
Develops and implements a care plan tailored to the needs of the patient and the patient’s immediate support system. Through this patient centered approach, the goal of this relationship with the patient is to decrease health disparities and improve health outcomes, while also assessing and addressing the patient’s social determinants of health (SDOH).
Other duties as assigned