Community Health Worker

Missouri Delta Medical CenterSikeston, MO

About The Position

As an integral member of our Patient-Centered Health Home (PCHH) care team, the Community Health Worker (CHW) utilizes unique expertise to bridge the gap between clinical care, social services, and patients. Working directly within a multidisciplinary care team, the CHW conducts proactive outreach, facilitates care coordination, and provides health promotion services. This role focuses on closing care gaps, improving clinical outcomes, and optimizing the cost-effective use of healthcare resources through patient empowerment and social support navigation.

Requirements

  • High school diploma or equivalent required.
  • Prior experience working as a CHW, case management aide, or within a community-based public health or healthcare setting is highly preferred.
  • Formal Community Health Worker (CHW) state certification or credentialing is highly preferred (or willingness to obtain certification upon hire with appropriate training).
  • Exceptional active listening and interpersonal skills with the ability to build trust with diverse populations.
  • Strong collaborative skills to seamlessly integrate with clinical care team members in a fast-paced environment.
  • Resourcefulness in navigating complex social service systems and overcoming patient barriers to care.
  • Basic computer skills and familiarity with tracking systems or Electronic Health Records (EHR) preferred.

Responsibilities

  • Meet regularly with the care team to plan patient care, discuss active cases, and exchange clinical and non-clinical information as part of the daily practice routine.
  • Conduct strategic outreach to actively engage patients in healthcare services and preventive care, successfully closing care gaps.
  • Assist with the entry, navigation, referral, and tracking of both clinical needs and community social supports.
  • Provide culturally appropriate education on health conditions and practical strategies to implement treatment plans and care goals.
  • Educate, coordinate, and provide access to chronic disease management, including teaching self-management support and training patients on self/home disease monitoring.
  • Facilitate collaborative goal setting with patients, assess their self-management plan progress, and assist directly with medication or treatment adherence.
  • Work closely with patients to problem-solve and overcome daily obstacles to complying with a given clinical treatment.
  • Co-lead health education groups and actively implement targeted wellness and prevention initiatives.
  • Identify and maintain an updated network of community resources, social services, and educational workshops to maximize patient health and wellness.
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