Description
Summary:
Conducts advanced outreach to the community. May coordinate charitable programs. Develops relationships with the community and community leaders.
Responsibilities:
- The Community Health Worker (CHW) provides culturally appropriate support and information for the patient and their families in a series of structured visits and follow-up phone calls in a variety of settings, including the patient’s home
-
Knowledge of resources in the community and refers patients to them
-
Assists patients in their understanding of how to use healthcare and social services and manage their Patient Health Record (PHR)
-
Has a holistic and interdisciplinary approach to care management and health promotion
-
Builds relationships with the patient, their families, healthcare providers, and the community
-
Assist patients in finding and understanding how to use a Medical Home (patient’s primary choice of physician or clinic), pharmacy assistance programs, dental services, diagnostic services, transportation, behavioral health services, and other services as needed
-
Refer patients to healthcare and social services and follow up on all referrals
-
Follow care pathways (evidence-based steps) designed and selected to deal with patients’ specific health and social concerns and problems
-
Document activities through appropriate record keeping that follows the organization’s policies and procedures
-
Maintains patient registry
-
Consult with the administrative supervisor and clinical supervisor to coordinate activities and schedule, and to address identified health care needs of the patient
-
Educate patients and their families in healthy lifestyles and promote health behavior change
-
Encourage patient to set goals, identify barriers and challenges, and monitor their own conditions
Requirements:
- Bachelor's Degree preferred
Work Schedule:
7AM - 5PM
Work Type:
Full Time
