Lead Community Health Worker

Yale New Haven Health•New Haven, CT

About The Position

Under the supervision of the Manager, Patient Navigation, the Lead Community Health Worker serves as a lead for healthcare and community-based navigation for referred patients. Responsibilities include working collaboratively on the development and implementation of a new and existing navigation programs with key internal and external community stakeholders and partners, monitoring and triaging patient referrals for navigation, supporting the Manager and CHW team by providing problem solving navigation for high-risk patients. The Lead Community Health Worker is seen as the go-to person for CHW navigation needs and is a valued resource between the HCW Resource Hub, within the Office of Health Equity, across the health system and in our Delivery network communities.

Requirements

Associate's Degree combined with prior experience supporting and working within the community (Greater New Haven, Bridgeport, New London, Greenwich/Port Chester)
At least 3 year's experience in health care or human service setting showing progressive increase in responsibilities
Excellent oral and written communication skills
State CHW Certification preferred or ability to obtain certification within 1st year of employment
Valid Drivers License required

Nice To Haves

Community Health Worker and/or Patient Navigator training preferred
Experience in positions such as case manager, community health worker and patient navigator preferred
Bilingual Spanish preferred

Responsibilities

Supports The Office of Health Equity, Community Health Worker Hub Development
Provides insight, support and input for department planning
Assists the YNHH Manager with developing the screening and navigation policies and procedures documents
Delivers program training for all referral departments across the system
Works collaboratively with Manager other key stakeholders to implement program milestones at key intervals as outlined
With support from the Manager, develops training manual and materials for CHW
Engages community partners for participation
Supports Manager through interview and selection process for CHW's to be hired
Provides training and department orientation to newly hired CHW's as appropriate
Develops training schedule for program CHW's (including but not limited to training in Epic, motivational interviewing, patient engagement, cultural competency, evaluation process, navigation steps patient discharge etc.)
Provides training to newly hired CHW's ensuring that key milestones are met and staff are progressing through learning objectives
Works collaboratively with Manager and team on patient data management and recommends changes and modifications to the system as appropriate
Serves as the organizational lead for community resources
Meets with community partners regularly to evaluate service referrals
Engages new community partners as necessary for patient needs
Supports and provides oversight for referred patients to the CHW Resource Hub
Establishes rapport with patients, family and caregivers; exhibits naturally friendliness and helpfulness
Monitors program data and works collaboratively with Manager to monitor high -risk patients
Monitors navigation processes for patients and recommends appropriate changes as necessary
Meets with patients troubleshoots questions and problems as they arise being solution oriented
Monitors the enrollment of eligible patients in navigation program
Provides referrals to other local agencies as appropriate for services
Provides navigation services, as needed, to patients enrolled navigation programs
Assist with providing patient reminder calls for all appointments
Assists patients with referrals for transportation services to appointments as necessary
Assists with the coordination of interpreter services as appropriate for patient appointments
Other related duties or special projects as needed and assigned
Maintains accurate patient records and processes client records appropriately
Ensures that all necessary patient information is documented in patient (paper and electronic) files
Maintains patient records securely
Documents all client interactions in electronic database with accurate notes indicating interactions with patients
Participates in physician awareness and community partnership meetings
Attends, as appropriate, meetings with hospital and community physicians and partners
Participates in and contributes to weekly team meetings
Develops in-service for screening and referral sites
Provides Community Health Worker staff supervision
Is seen as the go-to person for CHW staff questions
Shares feedback with manager for annual performance review
Assigns work related tasks to the CHW team and monitors progress and outcomes