Family Health Worker

Montefiore Health System • Town of Eastchester, NY

11d • $29

About The Position

The Community Health Worker Institute at Montefiore is a new Institute of excellence designed to help patients navigate social determinants of health. Family Health Workers (Community Health Workers) will be integrated as critical members of clinical heath care teams across the health system. The FHW will help patients identify and navigate clinical and community resources, help patients remain engaged in clinical care, and empower patients to advocate for themselves. He/She will be responsible for conducting follow up, documenting and reporting on patients' outcomes. FHWs will be responsible for providing support for patients at multiple clinical sites and be required to travel to each site weekly. This is a 100% grant funded position.

Requirements

• High School or GED
• 1-3 years of experience
• PC Computer: Microsoft Office Suite, Electronic Medical Record (Epic), Data reporting system (REDCap), virtual meeting software (Microsoft Teams, Zoom)
• Fax Machine
• Telephone
• Photocopier/Scanner
• Fit Test - OHS Required
• Annual Assessment - OHS Required

Responsibilities

• Assess patients’ social needs and link patients to needed services.
• Follow up with patients to improve engagement, ensure that challenges have been addressed and needs are met.
• Conduct intense follow up with high-risk patients to improve clinical outcomes.
• Articulate patient barriers, risks and complications to care team.
• Share up-to-date resources, eligibility criteria and other information relevant to navigating health and social needs. Including organizing required documents, completing applications, and scheduling appointments
• Track and document patient contacts, services provided and follow up outcomes.
• Build and maintain positive working relationships with social service agencies, community-based organizations, and community-based programs to support social needs navigation.
• Effectively convey the role and services of the CHW Institute and CHW staff to internal and external stakeholders, community members, and patients.
• Complete ongoing training to enhance patient engagement skills, content area knowledge and navigation.
• Conduct home visits (virtual and in person) and accompaniment to service providers for patients/families with the highest needs.
• Conduct individually tailored education and follow up to support healthy behaviors and uptake of health and social support services.

Benefits

• An assortment of insurance products and discount programs through Voluntary Benefits.
• Check out our comprehensive benefits available to you when you join our outstanding team!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees