Community Health Worker (Full Time)

MyCare Health Center•Mount Clemens, MI

39d

About The Position

The Community Health Worker (CHW) is a part of an inter-disciplinary clinical care team at a health center who helps increase access to health services for people through outreach, encouraging engagement, education, and peer support.

Requirements

Must be well-organized, detail-oriented, and have the ability to multi-task in a demanding and constantly changing environment
A strong commitment to serving the underserved and vulnerable populations of the local community.
Strong interpersonal communication skills and the ability to communicate easily with others, including demonstrating active listening skills
Ability to navigate the health care system and advocate for others
Demonstrate flexibility in addressing changing community needs and program environment
Must maintain strict confidentiality in performing the assigned duties.
Must be honest and trustworthy, respectful of others.
Must be flexible and possess cultural awareness and sensitivity.
Must possess excellent written and oral skills.
Must demonstrate a commitment to the mission of MyCare Health Center.
High school diploma or equivalent required.
Successful candidates must currently be certified as a CHW or will be required to complete the paraprofessional CHW Program within 180 days of hire.
Demonstrated competence in working cooperatively with physicians and other health care professionals,
Completion of background check.
Completion of drug screen.
Must obtain and maintain CPR (BLS) certification

Nice To Haves

Experience in community work, education, or health care especially health plan experience strongly desired.
Preferred proficiency in Microsoft Word, Excel, and Outlook
An ability to gain respect and build rapport with community members

Responsibilities

Review monthly outreach list for each covered Health Plan and develop a plan with assistance from supervisor for prioritized outreach following MCHN best practices workflow.
Document all outreach attempts in documentation tool and provide results monthly to allow for aggregate reporting to Health Plans.
Provide direct education or engagement with contacted patients or connect to other resources for education as appropriate based upon initial assessment.
Assist in maintaining assigned patient panels with covered Health Plans including helping patients change their primary care provider and supporting the Center in removing patients that are not served by the Center from its panels
For newly assigned patients, coordinate a graduated intensity outreach program to engage patient in care.
Assist contacted members with completion of assessment and address triggered interventions
Contact assigned Health Plan members identified as either high or inappropriate utilizers of the emergency department and assist with scheduling follow-up appointment(s) with PCP or other health care staff (Behavioral Health, Dentist) as soon as possible.
Provide education, including after-hours contact information, and resources to these members to contact their PCP if they believe urgent services are needed. This provides the opportunity to address needs through the Health Center services.
Utilize reports to prioritize patient outreach attempts to close gaps in care (e.g. missing preventive service, poor chronic disease outcome etc.).
Facilitate scheduling of required visit / testing and eliminate barriers to care as appropriate.
Conduct SDOH screening and assessment using tools identified to uncover individuals' needs and connect members with available community resources addressing, but not limited to, the SDOH
Report the appropriate detailed documentation utilizing the patient tracking report
Maintain confidentiality and follows HIPAA standards in safeguarding patient information.
Educate patients in taking and documenting at home vitals such as blood pressure monitoring.
Educate patients in the use of remote patient monitoring devices.
Assist with collecting vital patient records from the Health Information Exchange (HIE)
Attend community outreach events as determined by management to promote patient/community health and education
Participate actively in regular supervisory and team meetings and training sessions
Other duties assigned by management