Community Health Worker

Mosaic Community Health•Bend, OR

6d•Hybrid

About The Position

Mosaic is looking for a compassionate Community Health Worker to serve as a bridge between patients and the care and social services they need. You'll work alongside a clinical team in both clinic and community settings — helping patients navigate systems, remove barriers, and take steps toward better health. Traditional Health Worker (THW) certification required — or willingness to obtain upon hire. This role is a great fit for someone who is self-directed, people-focused, and comfortable working without all the answers in hand.

Requirements

Traditional Health Worker (THW) certification required — or willingness to obtain upon hire.
Excellent communication and interpersonal skills.
Strong, proven computer proficiency.
Knowledge of community social service agencies and programs.

Nice To Haves

Fluency in Spanish preferred.

Responsibilities

Build relationships and engage patients and their families of all ages, cultures and demographics with positivity, care, and respect while setting and maintaining professional boundaries
Possess the ability to work independently and as a member of a team, working collaboratively with other Community Health Workers, nursing staff, medical and dental providers, and community partners.
Assist patients and care team members in the development of care plans and patient goal setting
Screen patients for social determinants of health (barriers) and connect patients to available health and social services resources to help them achieve health and wellness goals
Stay well informed of available clinic and community-based resources, services and programs and eligibility requirements
Assist patients in navigating the health and social services system by Educating patients about services, eligibility criteria, enrollment processes, Provide scheduling and appointment coordination assistance, Teaching the skills and strategies to obtain care and self-advocate effectively, this includes helping patients overcome resistance to using available resources or services, Completing or reviewing paperwork necessary for service acquisition and financial assistance
Review assigned patient lists and contact patients to facilitate access to resources and services.
Seek solutions and services tailored to the needs of each patient
Facilitate continuity of care across the health and social services system by following up with patients to ensure needs were met, or to provide additional support, facilitate communication, or coordinate service delivery to avoid duplication of services.
Deliver patient care within HRSA services scope and approved locations, encompassing patient homes, community-based sites, and providing home-based care when necessary and in adherence to defined services and safety protocols. Local travel required.
Document in the electronic health record and other systems as required to fulfill expectations of documentation, coordination, and measurement
Build and maintain positive working relationships with healthcare entities, social service agencies and community-based organizations while representing Mosaic in and out of clinic
Notify leadership of opportunities for community partnership or collaboration to benefit patient needs
Attend and engage in community-based events as assigned, events are sometimes scheduled outside of usual working hours
Attend community meetings as assigned
Train and lead patient education opportunities (Ex: Walk with Ease, Living Well Series, etc.) as determined by program and patient needs.
Schedule, recruit for, organize and prepare for teaching or assisting with patient education opportunities and classes as assigned.
Teach basic concepts of health promotion and disease prevention as directed by nursing team.
Provide support and encouragement to patients managing chronic illness as directed by nursing team.