ECM Community Health Worker (CHW)
POSITION SUMMARY
Under the direction of ECM Program Manager and the Community Health Worker (CHW), outreach and enroll clients in Enhanced Care Management. Additionally, CHW services can help clients receive appropriate services to individuals who are preparing to be released from jail. Providing basic housing assistance, patient tailored intensive case-management, developing a care/service plan; provide linkages to medical, psychiatric, social, educational, and other services as needed. They will also work with the Community Supports Program staff to provide team-based, patient-centered care management for homeless and at-risk of homelessness patients. As a Community Health Worker, shared lived experience with potential clients is strongly desired
BENEFITS
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Free Medical, Dental & Vision
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13 Paid Holidays +PTO
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403( 403(B) retirement match
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Life Insurance, EAP
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Tuition Reimbursement
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SEIU Union (if applicable)
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Flexible Spending Account
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Continued workforce development & training
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Succession plans &growth within
QUALIFICATIONS/LCENSURE:
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High School Diploma or GED
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Bilingual English & Spanish (Preferred)
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Familiar with working with managed care plans and / or Medi-Cal
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Experience working with an Electronic Health Record system;eCWpreferred.
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Must be able to work independently and alongside a team inassistingclients meeting their goals.
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Available to work Monday-Friday, and some Saturday’s when needed. Aswellevenings to program and clinical needs.
RESPONSIBLITIES
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Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.
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Promote and aid patient inestablishingself-management skills, linking them to resources in the community including public benefits and social services.
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Crisis management and patient advocacy
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Maintain patient file/record of appointments, services,follow upsand assessments based on DHCS requirements of ECM Program and SJCH requirements.
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Liaison between client and community resources, medical / specialty offices and / or when support is needed.
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Work with Medical providers, specialists, therapists, social workers etc. internally and externally, todeterminehealth priorities.
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Empower, support, and educate clients in their re-integration process through mentorship.
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Operate in a supportive role within an interdisciplinary health care teamutilizingan integrated care and treatment model.
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Maintain outreach activity calendars and logs according to program standards.
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Collaborate with primary care providers and behavioral health providers to provide health and behavioral interventionsthat willmaximize patient health outcomes.
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Provides support, empowerment,educationand targeted case management services to clients.
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Conducts assessments ofclient'shistory with medical/dental/behavioral health services, social and economic resources for purposes of linkage.
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Educates clients with chronic illness about evidence-based standards of care and self-management of their chronic illness.
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Linksclients toneeded services andfacilitatesaccess to community resources.
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Advisesclients and othersregardinghealth care and other facilities available to them;assistspatients inutilizingservices; makes follow-up contacts whenrequired.
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Attending regularly scheduled and impromptu meetings andmaintaincommunication with program team members andsupervisor.
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Attendappropriate communityresource meetings and training, as assigned.
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Work in collaboration with other departments and agencies whenrequired; and
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Other duties may be assigned or may bemodifiedas business needsdictate.
St. John's Community Health is an Equal Opportunity Employer.
