Community Health Worker
About The Position
This role focuses on engaging and supporting member populations that are difficult to locate, such as those experiencing homelessness, severe mental illnesses, substance use disorders, or who are medically underserved and in need of preventive services. The Community Health Worker will be primarily field-based, supporting members in improving their overall health through outreach and engagement. Key responsibilities include enrolling members into programs, providing service coordination, conducting in-home assessments, developing service plans, and assisting members in overcoming barriers to achieving their health goals. This role also involves collaborating with Case Managers, assisting MSWs, arranging transportation, and following up with members through various methods. A significant part of the role includes working with social service agencies and facilities to address member needs and facilitate transitions. Maintaining accurate documentation, achieving set goals, and continuously expanding knowledge of community resources are also crucial aspects of this position.
Requirements
- High School Diploma/GED required
- Technologically knowledgeable or experienced in note entry systems, smart phones, and laptops
- Maintains confidentiality and follows HIPAA standards in safeguarding patient information.
- Good oral and written communication skills.
- Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
- Establishing and maintaining cooperative working relationships with others
Nice To Haves
- Bachelor's Degree preferred
- Community Health Worker Certificate preferred, or have at least minimum of 2 years experience working in health, social, or community services
- Knowledge of community resources within the community to be served
- Working knowledge of social and health issues
- Ability to quickly establish credibility and trust with patients and build strong relationships
- Sound judgment and the ability to quickly analyze situations
- Ability to establish priorities and meet deadlines
- Ability to problem solve in a proactive, creative manner
- Cultural competency- able to work with diverse groups of community members
- Experience providing peer support to patients with complex and multiple chronic conditions and challenging social and mental health conditions (e.g. Community Health Worker, Patient Navigator, In-Home Support Specialist, etc.).
- Training or experience in community health, social determinants of health, and peer counseling.
- Training and experience in using Motivational Interviewing strongly preferred
- Strong interpersonal and social skills with demonstrated ability to collaborate with a variety of individuals from a wide range of professional and personal backgrounds.
- Knowledge of community-based healthcare and social services systems and the needs of medically underserved populations, and older adults/seniors
- Ability to thrive in a complex and rapidly changing environment.
- Knowledge and/or experience within Home support Services (IHSS) is highly desirable.
- Life experience overcoming the challenges of chronic disease or work experience with people living with complex chronic conditions is highly desirable.
- Thrives in an unstructured, start-up environment.
- Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
- Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
- Creative, flexible, well organized, resourceful, and detail-oriented.
- Excellent judgment in handling confidential and sensitive information
- Bilingual (Spanish) preferred, but not required
Responsibilities
- Find member populations that are difficult to locate (homeless, severe mental illnesses, substance use, medically underserved, in need of preventive services, etc.)
- Support members in improving their whole health, through outreach and engagement activities, which are primarily field based
- Enroll members into programs and services by effectively communicating their value
- Work with members to provide effective and efficient service coordination
- Collaborates and consults with Case Manager on member care issues that is clinical based
- Provide on-site/in-home member assessments for safety risk, health needs, and barriers to care
- Develop service plans and guides with members and providers that include health management goals
- Engage with members, both in-person and on the phone, to achieve health management goals using health coaching, motivational interviewing, and problem solving techniques
- Assist members in overcoming any barriers to meeting health goals and update service plans accordingly
- Assist members in scheduling appointments and accessing community resources
- Assist MSW as needed
- Accompany, arrange for, or directly provide, member transportation to health services appointments
- Follow up with members via phone calls, home visits, and visits to other settings where members can be found
- Work with social service agencies to arrange to meet other member needs (housing, food, clothing, financial assistance, etc.)
- Work with facilities to help transition members after discharge to a safe home environment
- Maintain accurate, quality, timely, and consistent documentation in company database of member activities and interventions
- Achieve set goals/KPI's
- Continuously expand knowledge of community resources, services, and programs available to members and build ongoing relationships with these organizations to advocate for members
- Performs other duties as assigned
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
