Home Visitor Diabetes Program

Children’s Hospital of Philadelphia•Philadelphia, PA

10d•$23 - $28

About The Position

The Home Visitor works within the Diabetes Center for Children's (DCC). DCC seeks to educate families and to improve self-management skills in managing diabetes and environmental mitigation in order to improve asthma control for patients. The Home Visitor's primary responsibility is to educate, and to provide health care and community resource connections in order to improve diabetes management. Home visitors support families for one year after in-home or virtual educational encounters that occur both in-person and virtually. For video/virtual home visits the Home Visitor will educate patients and families in downloading, connecting and navigating virtual visits for appointments and resources in order to successfully navigate and connect families to community resources. The Home Visitor will contact the family at regular intervals and documents how the intervention is maintained in the home. The Home Visitor is also available to the family as needed between visits and can help to schedule visits in the clinic or via telehealth for CHOP patients. The home visitor is responsible for a minimum caseload and documentation of initial and follow-up visits in the electronic health record (EHR) and other electronic data capture systems

Requirements

High School Diploma / GED - Required
At least three (3) years working in community-based programs, community health - Required
Ability to engage with diverse patients and families in a culturally appropriate manner
Excellent organizational skills
Language of Caring
Ability to travel by car or independence on public transit, taxi, or ride-sharing program
Knowledge of local community agencies and organizations.
Strong interpersonal skills, communications skills, problem-solving skills, teaching and coaching skills, and community networking skills.
Ability to work effectively with a wide range of constituencies in a diverse community.
Outstanding customer service and communication skills
Ability to work independently and in collaboration with other teams
Ability to navigate Smartphones and mobile devices; IOS and Android
Excellent computer skills; email, Word, EPIC
Understands and values the importance of equitable access to healthcare
Ability to coach and navigate others in utilizing technology related to telehealth

Nice To Haves

Bachelor's Degree in social work, public health, education - Preferred
Educating community residents, Philadelphia resident - Preferred
Personal experience with medical complexity preferred but not required

Responsibilities

Conduct initial assessment of diabetes self-management skills and knowledge and conduct diabetes education classes in the home.
Assist patients and families in identifying education, information, agency referrals and advocacy to assist in managing medical and social needs.
Maintain a set caseload of families according to Center needs.
Outreach to families eligible to participate in the home visitor program.
Follow all institution and department protocols.
Connect families to community agencies, social service organizations, insurance providers and other resources according to identified needs through in-person or virtual assistance.
Conduct regular follow-up in-person or through virtual visits to reinforce education and assess changes in diabetes self-management.
Document all visits, activities with family, supplies provided, and other interventions into established patient database and electronic health record.
Responsible for appropriate use of incentives and intervention supplies, maintaining organization of storage locations, and documentation of use of supplies and incentives.
Assist in training new Home Visitor staff.
Attend all required staff meetings.