Community Health Worker - Diabetes Prevention

Trinity Health•Albany, NY

About The Position

The Community Health Worker (CHW) is a frontline public health worker who is a trusted member of, or has a strong understanding of, the community served. The CHW builds a trusting relationship with the community and serves as a liaison between St. Peter's Health Partners and the community to facilitate access to services and improve the quality and cultural competence of service delivery. The CHW builds individual and community capacity by increasing health knowledge and self-sufficiency through outreach, community education, informal counseling, social support, and advocacy. This position works collaboratively with the Community Health and Well-Being Team and the Integration Care Coordination System. It supports people with non-clinical needs, including individuals enrolled in both Medicaid and Medicare, with the goal of mitigating social care needs and reducing preventable hospitalizations. The role also helps address colleagues' social care needs as part of the Colleague Resiliency Plan. The position requires travel to various SPHP sites and other locations as needed.

Requirements

High school diploma required.
At least one year of community involvement experience.
Ability to operate effectively in a collaborative, shared leadership environment.
Honesty, integrity, and caring, with the ability to inspire and motivate others in support of Trinity Health's philosophy, mission, vision, goals, and values.
Ability to read and comprehend simple instructions, short correspondence, and memos, and to write simple correspondence.
Ability to interview patients or clients effectively and accurately record medical information.
Ability to present information effectively in one-on-one and small-group situations to clients and employees.
Ability to communicate pertinent information effectively with medical and social service professionals.
Ability to communicate orally and hear or otherwise communicate with the target population.
Ability to proofread and check documents for accuracy.
Comfort working and serving in a diverse and inclusive environment, and operating collaboratively with shared leadership and clinical supervision where applicable.
Ability to adapt to frequently changing work priorities and balance requirements involving the System Office and Regional Health Ministries.
Ability to travel to various SPHP sites and other locations as needed.
Good manual dexterity to operate a computer keyboard.
Good hearing for extensive telephone conference calls and in-person communication.

Nice To Haves

Associate degree.
Ability to earn a Community Health Worker certificate.
Bilingual skills to work with patients in their native language.
Certification as a medical interpreter or translator.
Basic Life Support (BLS) certification.

Responsibilities

Conduct and interpret individual assessments to identify non-clinical needs and mitigate barriers to resources and services.
Improve access to health and human services through in-person interactions, telephone contacts, and referral coordination according to program protocols.
Reinforce health literacy and educational messages using appropriate tools and supplies within the scope of practice.
Serve as a liaison between providers and patients to facilitate communication and coordination of services.
Maintain knowledge of community services and resources, keep frequent contact with agencies serving vulnerable populations, and participate in community meetings.
Use Social Care tools via TogetherCare or similar protocols for care coordination.
Assist with data collection.
Screen for and mitigate social care needs of patients enrolled in both Medicaid and Medicare as an intervention to reduce preventable hospitalizations.
Address and mitigate colleagues' social care needs as part of the Colleague Resiliency Plan.