Community Weaver

HHC•Indianapolis, IN

2d•Hybrid

About The Position

Under the general direction of the Health Center Manager, the Community Weaver, in collaboration with each health center’s Social Work, Community Health, primary care and mental health clinical teams and the Social Determinants of Health (SDOH) team, will act as a welcoming central point of contact for patients and their families seeking additional information or resources that are available at Eskenazi or in the community. This role supports Eskenazi Health’s engagement and partnership with the community surrounding the health center, aligning with the mission, vision, and values of Eskenazi Health (EH) and strategic plans of EH and EHC. The Community Weaver provides the ultimate in customer service, connecting the patient to Eskenazi programs, helping to navigate between departments, and providing specialized service to address the unique needs of the patient. The Community Weaver connects the community and patients to Eskenazi programs, helping to navigate between departments, and providing specialized service to address the unique needs of the patient. The Community Weaver will proactively contribute to Eskenazi Health Mission: Advocate, Care, Teach and Serve by connecting staff and community to each other in mutually beneficial ways.

Requirements

High school diploma or GED with 3 years of community related experience
Valid Indiana driver's license that meets Eskenazi Health's driving policy requirements
Ability to relate to a variety of people within different cultures, socioeconomic backgrounds and education levels
Ability to establish and maintain effective working relationships with superiors, coworkers, patients and families
Willingness to work with patients and their family members or other support persons in the clinic, hospital, home, and community settings
Basic computer skills with proficiency in Microsoft applications
Strong interpersonal skills; ability to be both clear and concise in written and verbal communication

Nice To Haves

Associate’s degree preferred
Community Health Worker certification preferred

Responsibilities

Act as bridging social capital to expedite community connectedness for patient by providing a warm handoff to a trusted community based organization with follow-up.
Connect residents to a medical home.
Works closely with Social Workers and Community Health Workers, with the goal of accelerating community knowledge and connectivity for the team.
Supports staff leadership as they participate in neighborhood leadership activities.
Other duties as assigned
Perform home visits to patients to provide support, encouragement and guidance.
Accurately documents home/telephone visit outcomes in a timely manner
Develop supportive and therapeutic relationships with patients and their families
Recommends community resources for patients order to meet the basic five needs of : housing, food, clothing, transportation and utilities Carries a caseload of at least 40-50 patients
Monitors patient progress and reflects this in documentation during follow-up visits
Demonstrates commitment to professional growth by actively participating in clinical supervision
Works closely with Social Workers and Community Health Workers, with the goal of accelerating community knowledge and connectivity for the team
Supports staff leadership as they participate in neighborhood leadership activities.
Other duties as assigned