Community Health Worker

Argus Community Inc•New York, NY

62d•$0 - $30•Onsite

About The Position

The Community Health Worker (CHW) is a key member of the NYP Comprehensive Health Program patient care team, helping improve health care access and outcomes by engaging clients in care. The CHW empowers patients to achieve their care goals through culturally sensitive education, peer-based support, treatment-adherence support, and connections to medical care and community-based social supports. The role serves patients associated with the Comprehensive Health Program and Health Home, including people living with HIV, and involves outreach, care coordination, accompaniment, home visits, clinic activities, and documentation. The CHW works across hospital, community, and home settings, in coordination with NYP, Argus Community, and other care-team members. The position is based at NYP and Argus Community locations in New York City and the Bronx, with clinic and field work.

Requirements

Be at least 18 years old.
Have relevant experience in outreach, social services, and/or sales.
Have at least a high school diploma; a BA degree is also listed as meeting the minimum education requirement.
Work onsite in the clinic two days per week, including the assigned weekly team-meeting day.
Perform field work three days per week or more as needed.
Work onsite at three Argus Community locations per week, including the assigned supervision day.

Responsibilities

Conduct outreach and engage patients who are out of care, new to care, or at risk of falling out of care through phone outreach, home visits, and facility in-reach.
Accompany Health Home and non-Health Home patients to HIV medical care, specialty care, social services, and community-services appointments.
Coordinate care and support Health Home care management across hospital, community, and home settings as part of the health care team.
Respond to referrals within 24–48 hours, or as determined by the referring provider; support patient linkage to agency services and update care teams to close the referral loop.
Conduct home visits to support IT assessments and education for patients living with HIV over age 50 who are enrolled in the CHP iPad/hotspot loaner program.
Provide home-based medication-adherence education and may participate in medication reconciliation with an RN care manager through telehealth.
Participate in assigned clinic activities, including weekly clinical care-team meetings, assisting with Wellness Groups for patients age 50 and older, and administering annual social determinants of health screenings.
Identify clients who may need housing, food, or transportation support and who may benefit from NYP Health Home enrollment or community-services referrals.
Outreach to, engage, and enroll eligible clients in the NYP Health Home program.
Document patient outreach and services in the NYPH EMR according to CHP and Health Home workflows, on the same day or the next day, and communicate with care-team members as required.
Submit all Health Home high-medium-low assessments by the last day of the month.
Follow NYP policies for using issued IT cell phones, tablets, and other equipment, and return NYP property in proper working order at the end of the contract or upon termination.
Report to three Argus Community sites and work with assigned HIV/AIDS clients to support HIV suppression and treatment.
Attend monthly meetings with the Agency Supervisor and CHP Sponsor, CHP CHW monthly meetings, and other meetings as needed.
Work onsite at three Argus Community locations each week, including on the assigned supervision day, and attend monthly team staff meetings.
Perform additional duties as determined by the CHP Sponsor and Program Leadership in consultation with the CBO supervisor.