Community Health Worker - Yolo County

COPE Health Solutions•Yolo, CA

8d•$26 - $30

About The Position

The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs. Position Description: Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need. Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management. Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement. Provide ongoing follow-up, basic motivational interviewing, and goal setting with patients/families. Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure. Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well -being. Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member. Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms. Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed. Documents interactions with members and on behalf of members in medical record Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found. Help patients set personal health related goals and attend appointments. Provide referrals for services to community agencies as appropriate. Help patients connect with transportation resources and provide appointment reminders in special circumstances. Exhibit excellent working relations with patients, visitors and staff, Effectively communicating CHS’ mission. Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans. Work collaboratively with other clinical personnel assigned to the same patient. Knowledgeable about community resources appropriate to needs of patients/families. Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress. Act as a patient advocate and liaison between the patient/family and community service agencies. Record patient care management information in the EMR and other software no later than 24 hours after patient contact. Manage assigned caseload of patients. Always maintain HIPPA compliance.

Requirements

Valid California Driver’s License
High school graduate or equivalent required
Good organizational skills to handle multiple priorities while remaining professional and calm.
Ability to work with many diverse people, including children and teenagers.
Effective telephone skills.
Strong level of confidentiality due to the sensitivity of materials and information handled.
Ability to make suggestions on workflow or system efficiency and effectiveness.
Ability to work independently and be self-directed and flexible.
Ability to prioritize.
Ability to perform functions with minimal supervision.
Ability to work at a high-volume level of accuracy.
Understand the community served, community connectedness.
Good communication skills, such as listening well, and using language appropriately.
Ability and willingness to provide emotional support, encouragement, and motivation to patients.
Experience working in a community-based setting for at least 1 to 2 years preferred.
Basic computer skills required; electronic medical record (EMR) experience preferred.

Nice To Haves

Associate's Degree in Business Administration or related field preferred.
Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred.
Written and oral fluency in English and Spanish is preferred.
Experience working in a multi-cultural setting.
Willing to learn and understand a variety of different cultures, perspectives, and norms.

Responsibilities

Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need.
Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management.
Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
Provide ongoing follow-up, basic motivational interviewing, and goal setting with patients/families.
Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure.
Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well -being.
Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member.
Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed.
Documents interactions with members and on behalf of members in medical record
Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
Help patients set personal health related goals and attend appointments.
Provide referrals for services to community agencies as appropriate.
Help patients connect with transportation resources and provide appointment reminders in special circumstances.
Exhibit excellent working relations with patients, visitors and staff, Effectively communicating CHS’ mission.
Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
Work collaboratively with other clinical personnel assigned to the same patient.
Knowledgeable about community resources appropriate to needs of patients/families.
Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
Act as a patient advocate and liaison between the patient/family and community service agencies.
Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
Manage assigned caseload of patients.
Always maintain HIPPA compliance.

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/

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