Pediatric Community Health Worker (TMPEC Grant)

Greater Lawrence Family Health Center • Methuen, MA

304d

About The Position

Under the leadership and direction of the Director of Population Health, and in collaboration with integrated care team leadership, the Pediatric Community Health Worker (CHW) plays a pivotal role in supporting care coordination functions. In this role, the Pediatric CHW engages children (ages 0 - 5) and their families, provides education and care coordination to address care gaps, and attends to medical, behavioral, and health-related social needs. The Pediatric CHW works with patients to improve overall health outcomes. They assess strengths, needs, and barriers to accessing care. The Pediatrics CHW may act as a primary point of contact for caregiver(s), providing mentorship and supporting access to care at various critical junctures. They also connect families facing economic and social challenges to community resources. The Pediatric CHW adheres to high professional standards of conduct and maintains respectful and culturally responsive engagement with patients and colleagues. The Pediatric CHW effectively manages a caseload of patients with moderate to complex needs and communicates all service delivery by accurately documenting interventions and engagement activities within the patient record in a professional and timely manner. As a core care team member, the Pediatric CHW attends and actively engages in all pertinent meetings, trainings, and supervision with their medical and behavioral health care team colleagues.

Requirements

• High School Diploma or GED required.
• Community Health Worker Certification required (as appropriate for the role).
• CPR Certified required.
• Bilingual English/Spanish speaking required.
• Must demonstrate a working knowledge of Microsoft Office: Word, Excel and PowerPoint.
• Must be willing to learn and utilize telehealth technologies.
• Lived experience, working with children and families, required.
• Working Knowledge of community resources and ability to assess and implement based on assessment.
• Effective problem solving and critical thinking skills.
• Demonstrated success in working as part of a multi-disciplinary team.
• Experience working with patients with chronic medical and behavioral health needs.
• Demonstrated experience working with diverse patient populations and workforce.
• Must demonstrate excellent interpersonal communication and written skills.
• Must have a valid driver's license and access to reliable transportation.

Nice To Haves

• Enthusiasm and passion for helping patients in a non-judgmental and empathetic nature.
• Flexibility and adaptability to change.
• Strong organizational skills with ability to prioritize, multi-task and independently manage work demands.

Responsibilities

• Health Related Social Needs (HRSN) Screening and follow-up Management
• Conduct preliminary screening and assessments of child's and family's needs.
• Assess for barriers to accessing services, including family's readiness for change.
• Support children and families in identifying their goals, personal strengths.
• Assist families in developing and implementing goal setting and action planning.
• Assist in the development and implementation of care plans.
• Partner with patient and caregivers to promote the successful execution of treatment plans and ensure continuity of care.
• Strengthen patients' and caregivers' self-management skills.
• Utilize evidence-based engagement strategies, such as motivational interviewing (MI) and problem-solving techniques.
• Provide education and information to caregivers to improve their knowledge and understanding of typical child development and behavioral health issues.
• Ensure continuity of care through ongoing collaboration with patients, caregivers, PCP, BHCs, and other care team members.
• Support referral process and assist families in accessing and connecting to appropriate services.
• Identify and build relationships with community partners.
• Conduct home visits and site visits to community partners.
• Support children and families to effectively navigate the medical and behavioral health care systems.
• Assist the child, family, and care team in coordinating services through transitions in care.
• Gain and share information about health topics that are relevant to children and families.
• Provide direct services, including informal counseling on access to Health and Human Services.
• Use data and evidence-informed practice to support children, families, and care team members.
• Encourage children and families to develop organizational and leadership skills needed to advocate for care and services.
• Build and maintain community networks and participate in activities to build further capacity for services within the community.
• Comply with all applicable Massachusetts laws and ethical standards.
• Provide organized and appropriate documentation of activities and rendered services.

What This Job Offers

• Job Type: Part-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED