Community Health Worker (HYBRID) - Clare

MyMichigan Health•Clare, MI

60d•Hybrid

About The Position

This is a grant funded-temporary position with anticipated funding for one year. Continued employment beyond that time frame in this position is dependent upon grant funding availability. The Community Health Worker (CHW) serves as a frontline liaison between MyMichigan Health and the communities we serve. This role is responsible for conducting outreach and care coordination activities to connect patients with appropriate health care, community, and social service resources that address social determinants of health (SDOH) barriers and improve overall health outcomes. This person will be a key member of ambulatory patient-centered health teams and community collaborations and will work closely with the Community Health and Population Health teams.

Requirements

Experience in a health system, public health sector, or community benefit organization.
Strong written and oral communication skills, including preparation and report presentation.
Knowledge of personal computers, PC applications, MS Word, Excel, PowerPoint and Project.
Self-motivated, strong problem solver, and detail-oriented.
Effectively communicate with community members, partners and stakeholders.
Communicating health information using culturally appropriate terms and concepts.
Capability to navigate complex social/health issues.
Community Health Worker Core Competency certification is required within 6 months of hire or transfer.
Cardiovascular Health (CVH) and Diabetes Micro credential course completion within 6 months of hire or transfer.
Employees need to demonstrate competency in Microsoft Windows.
All employees may be required to participate in further learner opportunities offered by MyMichigan Health.

Responsibilities

Manage Community Health work queue referrals for assigned geographies.
Conduct patient outreach to address identified social determinants of health (SDOH) needs.
Assist patients and families in addressing health disparities by connecting them with appropriate community resources to remove SDOH barriers.
Promote wellness and health equity by providing locally relevant, culturally appropriate education, resources, and support to patients and community members.
Assist patients with chronic disease prevention and management.
Maintain current knowledge of SDOH best practices, CMS requirements, community resources, and referral processes.
Utilize standardized Epic documentation workflows and templates to ensure accurate, compliant, and timely documentation of interventions, outcomes, and resource connections.
Support care team needs in provider offices as appropriate to meet payor metrics and billing guidelines.
Establish/maintain positive relationships with community partners.
Collaborate with Community Health team if/when a need for a new community relationship(s) is identified.
Advocate for patients when needed.
All other duties as assigned.