Community Health Worker

NorthLakes Community Clinic•Minong, WI

2d•Remote

About The Position

The position’s main purpose is to connect people with support and resources to improve overall health and wellbeing. The CHW works with each person to build on their strengths, reduce barriers to care, and improve important aspects of life (financial, safety, physical, emotional, etc.). The CHW plays a key role in our efforts to provide comprehensive and integrated care to all patients. Candidates must reside within NorthLakes' service area at the time of hire and maintain residency throughout employment.

Requirements

A Bachelor’s Degree (B.A or B.S.) preferred, with 1 year of relevant experience in community-based settings
Position must keep current on information pertaining to community resources and services.

Nice To Haves

In-depth understanding of communities served
Strong psychosocial background
Relevant experience in case management
Ability to interact with physicians & other health care professionals in a professional manner
Strong interpersonal and communication skills
Adaptable to change
Proficient in Microsoft Office
Keeps all matters related to the organization confidential in accordance with HIPAA and the confidentiality policies and procedures.

Responsibilities

Administer assessment of whole-person needs for social drivers of health, including housing, economic stability, social networks and supports, access to healthcare, access to food, stress, wellbeing and safety
Identifies patients meeting criteria for care management services
Collaboratively develop a plan based on personal goals, and connect people to resources and supports to achieve said goals
Provide informal counseling and support, screenings, and referrals
Establish trusting relationships with patients and their families
Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families
Maintains follow-up care with patients through phone contact and office visits, while at the same time encouraging and fostering self-management
Connect people to healthcare and social services through referrals, warm hand offs and follow-up
Keep up to date on community resources and services and how to access them, and facilitate system navigation
Help people keep appointments, including appointment reminders
Manage care transitions for vulnerable populations
Connect people to the Sliding Fee program, NorthLakes Care, and other programs
Assist in completing applications and registration forms
Conduct eligibility determination, enrollment and follow-up to enroll individuals into health insurance plans, including CAC duties
Work closely with care team to ensure people have comprehensive and coordinated care
Act as an advocate and liaison between the person/family and service agencies (i.e. schools, Department Human Services, Heath Care for Homeless, hospitals, support groups, etc.)
Manage assigned caseload of participants
Attend regular staff meetings, trainings and other meetings as requested
Collect program data and relay information
Record patient care management information in the EMR and other software
Understand and demonstrate knowledge of HIPAA
Develop and maintain relationships with organizations and agencies providing health and social services
Maintain and disseminate updated resource information
Work with Department Manager to identify community involvement and outreach needs
Other duties as assigned

Benefits

Medical and dental insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Leave Bank
403(b) with a 4% employer match
Vision Insurance
Supplemental Life, AD&D and Disability
Tuition reimbursement
Health and Wellness reimbursement program
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Partner of HRSA/NHSC loan repayment program