Rural Community Health Worker

Sun River Health•Amenia, NY
•Hybrid

About The Position

The Community Health Worker connects patients and community members with healthcare, social services and other resources that address health-related social needs. This role builds trusted community relationships, provides navigation support and maintains accurate documentation to improve access, continuity and outcomes in assigned rural communities.

Requirements

  • High school diploma or equivalent required.
  • Community Health Worker certification is not required at hire; successful completion and ongoing maintenance of required CHW training or certification is a condition of continued employment.
  • Prior experience in community outreach, case management, care coordination, patient navigation or a related service role preferred.
  • Demonstrated knowledge of or strong ties to the communities served preferred.
  • Bilingual skills preferred based on community needs.
  • Ability to build trust and work effectively with patients, families, community members and partner organizations.
  • Strong communication, active listening, organization, documentation and follow-up skills.
  • Ability to identify barriers, connect individuals with appropriate resources and maintain professional boundaries.
  • Comfort using electronic health records, databases, Microsoft Office and other standard business technology.
  • Ability to work independently in community settings and collaboratively as part of an interdisciplinary team.
  • Ability to travel locally to community sites and events as required.
  • Ability to work a flexible schedule when outreach events or program needs require evening or weekend coverage.

Responsibilities

  • Identify, assess and maintain an up-to-date map of healthcare, social service and community resources within assigned communities.
  • Screen patients and community members for health-related social needs and identify barriers to care, including access, transportation, insurance and other support needs.
  • Provide patient navigation and follow-up support to help individuals access healthcare services, community programs and social support resources.
  • Educate patients and community members about health insurance options and assist with enrollment activities within the scope of the role.
  • Develop and maintain collaborative relationships with community-based organizations, service providers and other referral partners.
  • Document patient and community encounters, referrals, interventions and outcomes accurately and timely in eClinicalWorks and other designated databases.
  • Support required data tracking and documentation needed for program reporting and applicable billing activities.
  • Participate in community events, outreach activities and engagement initiatives as a representative of Sun River Health.
  • Complete required Community Health Worker training and maintain applicable certifications throughout employment.
  • Participate in team meetings, case discussions, grant-related activities and quality improvement initiatives as assigned.
  • Maintain patient confidentiality and comply with organizational policies, grant requirements and applicable regulations.
  • Perform other duties as assigned to support rural health and community engagement initiatives.
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