Community Health Worker (temporary)

Mosaic Community Health•Madras, OR

About The Position

Mosaic Community Health is seeking a temporary Community Health Worker for up to six months to serve as a bridge between patients and the care and social services they need. The role works alongside a clinical team in clinic and community settings to help patients navigate systems, remove barriers, and take steps toward better health. It is suited to a self-directed, people-focused person who is comfortable working without having every answer immediately available. Traditional Health Worker (THW) certification is required, or the employee must be willing to obtain it upon hire. The position supports patients and families of all ages, cultures, and demographics through relationship-building, care planning, social-needs screening, resource navigation, service coordination, follow-up, and documentation. Work takes place in approved clinic and community locations, including patient homes when necessary and in accordance with service and safety protocols. Local travel is required. The Community Health Worker also develops relationships with healthcare providers, social service agencies, and community organizations; participates in community events and meetings; and organizes or delivers patient education opportunities. Some community events may take place outside usual working hours. The role teaches basic health-promotion and disease-prevention concepts and supports patients managing chronic illness as directed by the nursing team.

Requirements

Traditional Health Worker (THW) certification, or willingness to obtain certification upon hire.
Excellent communication and interpersonal skills.
Strong, proven computer proficiency.
Knowledge of community social service agencies and programs.
Ability to work independently and as part of a team.
Ability to travel locally.

Nice To Haves

Fluency in Spanish.

Responsibilities

Build positive, respectful relationships with patients and families while maintaining professional boundaries.
Work independently and collaboratively with Community Health Workers, nursing staff, medical and dental providers, and community partners.
Assist patients and care team members with care plans and patient goal setting.
Screen patients for social determinants of health and connect them with health and social services resources.
Stay informed about clinic and community resources, services, programs, and eligibility requirements.
Help patients navigate health and social service systems by explaining services, eligibility, and enrollment processes; coordinating appointments; teaching self-advocacy skills; and assisting with required paperwork.
Review assigned patient lists and contact patients to facilitate access to resources and services.
Identify solutions and services tailored to each patient's needs.
Follow up with patients to support continuity of care, address unmet needs, facilitate communication, coordinate service delivery, and avoid duplication.
Deliver patient care within the HRSA services scope and approved locations, including patient homes and community sites when necessary, following defined service and safety protocols.
Document services and coordination in the electronic health record and other required systems.
Build and maintain positive working relationships with healthcare entities, social service agencies, and community-based organizations while representing Mosaic.
Notify leadership of opportunities for community partnerships or collaboration that could benefit patients.
Attend assigned community events and meetings.
Schedule, recruit for, organize, prepare, and lead or assist with patient education opportunities and classes.
Teach basic health-promotion and disease-prevention concepts as directed by the nursing team.
Support and encourage patients managing chronic illness as directed by the nursing team.