Community Health Worker

OhioHealth•Augusta, GA

19d

About The Position

The Community Health Worker (CHW) works with OhioHealth patients who have non-clinical barriers to engaging in treatment plans and recommendations. In collaboration with a multidisciplinary team, the CHW identifies barriers to health care and coordinates support services and community resources to address them. The role also provides individual consultation and follow-up based on social determinants of health, patient demographics, and resource needs. The CHW meets with patients in person or by phone to conduct intake interviews, identify barriers, coordinate resources, provide basic health promotion education, and support adherence to treatment plans. Depending on patient risk, visits may take place at home or in the community. The role documents patient interactions, communicates with the care team, maintains relationships with community organizations, coordinates referrals, and performs administrative and recordkeeping duties. Reliable transportation is required.

Requirements

High school diploma or GED.
Community Health Worker certification from an approved training program, or begin the certification within one year of hire.
Experience working with underserved populations in the community.
1–3 years of experience.
Reliable transportation.

Responsibilities

Meet individually with patients in person or by phone to conduct intake interviews and identify non-clinical barriers to care.
Conduct home or community-based visits when indicated by the severity of patient risk.
Coordinate support services and community resources, provide basic health promotion education, and help patients access affordable medication.
Develop and track measurable, time-bound goals with patients and facilitate adherence to treatment plans established by the multidisciplinary team.
Explain the importance of following the plan of care and making healthy lifestyle choices, including nutrition, exercise, and stress management, and discuss the health impacts of smoking, drinking, and drug use.
Maintain HIPAA compliance.
Document patient interactions and communicate regularly with the care team; participate in multidisciplinary care team huddles.
Develop and maintain relationships with community resources and serve as a liaison between OhioHealth and local community agencies.
Report patient demeanor and document information relevant to care, including stressors, children, domestic violence, and partner involvement.
Recognize and report signs of family violence, abuse, or neglect.
Maintain accurate and timely patient records.
Answer phones, review messages, triage calls, and determine appropriate next steps.
Make, facilitate, and track appropriate referrals.
Recognize differences among client populations and consider their implications when identifying appropriate services.
Perform job duties with focus on safety, quality, and efficiency.