About The Position

The Community Health Worker (CHW) supports individuals living with HIV by serving as a liaison between patients, providers, and community resources to improve access to medical care, behavioral health services, and supportive programs. This role focuses on patient navigation, care coordination, health education, and addressing social determinants of health, including transportation, food insecurity, insurance, language access, and financial barriers. The CHW assists eligible patients with grant-supported co-pay resources, promotes retention in care, and ensures compliance with the EIP grants.

Requirements

  • Grant-funded program support
  • Patient navigation
  • Care coordination
  • Health education
  • Addressing social determinants of health (transportation, food insecurity, insurance, language access, financial barriers)
  • Assisting patients with grant-supported co-pay resources
  • Promoting retention in care
  • Ensuring compliance with EIP grants
  • Electronic health records documentation
  • Program tracking systems documentation
  • Eligibility verification
  • Service documentation
  • Participation in audits, monitoring visits, and quality improvement activities
  • Monitoring patient no-show reports and outreach
  • Collaboration with providers, nurses, social workers, case managers, and administrative staff
  • Collaboration with interpreter services
  • Participation in team meetings, case conferences, and program planning efforts
  • Support for quality improvement projects

Nice To Haves

  • Experience with HIV-related medical care
  • Experience with behavioral health services
  • Experience with community resources
  • Experience with Ryan White and Elixir grants

Responsibilities

  • Assist patients in navigating HIV-related medical care, including primary care, specialty services, and behavioral health appointments
  • Support linkage to care, retention in care, and re-engagement of out-of-care patients
  • Coordinate appointment scheduling and follow-ups in collaboration with clinical and administrative teams
  • Provide education on treatment adherence, preventive care, and available support services
  • Provides emotional support to patients to ensure they remain/advance on the care continuum
  • Conduct needs assessments to identify barriers such as transportation, food insecurity, housing instability, insurance gaps, and language access
  • Connect patients to internal and external community resources to address identified needs
  • Collaborate with community-based organizations and partners to enhance service delivery
  • Facilitate support groups
  • Maintain accurate, timely documentation in electronic health records and program tracking systems
  • Ensure compliance with the EIP grants, including Ryan White and Elixir, including eligibility verification and service documentation
  • Participate in audits, monitoring visits, and quality improvement activities
  • Monitors patient no-show reports and conducts outreach to re-engage patients in services
  • Work closely with providers, nurses, social workers, case managers, and administrative staff to ensure coordinated, patient-centered care
  • Collaborate with interpreter services to support effective communication for patients with Limited English Proficiency (LEP)
  • Participate in team meetings, case conferences, and program planning efforts
  • Support quality improvement projects

Benefits

  • Medical (including prescription)
  • Supplemental insurance
  • Dental
  • Vision
  • Life and AD&D insurance
  • Short- and long-term disability
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits (group rates on insurance and discounts)
  • Tuition discounts at Thomas Jefferson University (after one year of full time service or two years of part time service)
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