Community Health Worker

Winnebago Comprehensive Healthcare System•Winnebago, NE

About The Position

The Community Health Worker provides culturally responsive outreach, education, care coordination, and support services for community members needing kidney health support. The role bridges community members, healthcare providers, and community resources to improve health outcomes and reduce health disparities. The position is funded by the RHT and includes general community health work as well as specialized work supporting the Cakso Wirakara ra Kidney Protection programs. The worker conducts scheduled home visits and community outreach, provides supervised home health support and transportation, assists with medication needs and translation, monitors blood pressure and blood glucose, offers health education, and connects clients with services and resources. The specialty focus includes supporting high-risk individuals and families with kidney health, healthy pregnancies, early childhood, appointment coordination, follow-up after health events, and access to appropriate care and community supports. The worker maintains client documentation and reports, participates in care team and program activities, attends required training and meetings, and maintains GSA vehicles.

Requirements

  • High school diploma or GED.
  • Valid driver’s license and ability to meet driver eligibility guidelines.
  • Good physical and mental health and successful completion of a complete pre-employment physical exam, including PPD.
  • Basic knowledge of MS Office computer software.
  • Ability to maintain accurate written daily, weekly, and monthly reports.
  • Ability to maintain strict confidentiality when handling sensitive information.
  • CPR/BLS certification, or ability to obtain it within six months of hiring.
  • Fluent ability to read, write, and speak English.
  • Ability to use professional verbal and written communication skills effectively.
  • Ability to read, write, calculate, reason, and analyze.
  • Above-average social interaction skills.
  • Ability to work with minimal to no supervision.
  • Ability to perform normal to heavy work, including lifting up to 75 pounds, and regularly walk, stand, and sit for extended periods.
  • Ability to use a computer keyboard, phone, office equipment, and GSA vehicles.
  • Must comply with 45 CFR 1301, Subpart D, Section 1301.31(C) and (D), including signing a pre-employment declaration regarding arrests and convictions involving child abuse or violent felonies, and with PL 101-630 and PL 101-637 regarding criminal records checks.
  • Must attend department meetings, training courses, and certification courses required by the position and CHW Coordinator.

Responsibilities

  • Demonstrate the Public Health Department’s core mission, vision, and values.
  • Conduct scheduled home visits and community outreach with assigned clients and high-risk individuals.
  • Provide medication assistance, medication education, medication reminders, adherence support, and help identify barriers to obtaining prescribed medications.
  • Provide translation assistance and transportation to healthcare appointments, department programs, educational classes, support groups, and approved community activities.
  • Provide supervised home health care, including blood pressure and blood glucose monitoring.
  • Educate clients about healthy lifestyle habits and culturally grounded kidney health, following the American Kidney Foundation curriculum.
  • Conduct wellness check-ins and follow up with at-risk community members and people with kidney disease.
  • Support outreach, recruitment, enrollment, and retention of participants in the Kidney Protection programs.
  • Assist participants with scheduling, attending, and following up on appointments, health services, and specialty care.
  • Conduct follow-up visits and calls after hospitalizations, emergency department visits, deliveries, postpartum complications, and infant health concerns.
  • Notify patients of scheduled doctor appointments and follow up on internal staff and referred-provider appointments.
  • Assist with infectious disease screenings, other screening activities, and referrals.
  • Identify barriers related to Indigenous Social Determinants of Health and connect clients with resources, including support related to transportation, housing, food security, healthcare access, employment, and social support.
  • Coordinate referrals to healthcare providers, behavioral health services, social services, early intervention programs, home visiting programs, and community resources.
  • Promote healthy lifestyles through culturally grounded, strengths-based, trauma-informed, and family-centered approaches.
  • Encourage extended family, caregivers, and support networks to participate in care in support of Indigenous kinship-based practices.
  • Assist with group classes, family education sessions, cultural activities, and community outreach events.
  • Maintain accurate and timely patient charts, client records, encounter notes, daily, weekly, and monthly reports, and other required documentation.
  • Participate in multidisciplinary care team meetings, case reviews, quality improvement activities, and program evaluation efforts.
  • Attend required in-service sessions, health-related classes when possible, training courses, certification courses, workshops, supervision sessions, department meetings, and other mandatory training.
  • Maintain GSA vehicles.
  • Comply with confidentiality requirements and applicable background-check and pre-employment declaration requirements.
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