St. Charles Population Health department serves as the core design and facilitation team for health system population health and management services. The Population Health department is integrally linked to payer contracting, care coordination in the inpatient and outpatient setting, local and regional health plans, community needs and integration, public health and regional non-profit entities, and data analytics.
Community Health Educators (CHEs) teach people about behaviors that promote wellness. They develop and implement strategies to improve the health of individuals and communities. A CHE is a trained advocate from the community who works in the field and coordinates care to help bridge the gaps and eliminate barriers to health care and social services for identified at-risk clients. A CHE conducts home and site visits to assess risks, match adults to identified/needed services, and empowers individuals to access community resources through referrals, education, and outreach. A CHE assists the health care team in recognizing potentially serious problems, thus preventing poor health and social outcomes for individuals and communities. The CHE directly reports to and takes direction from the Manager of Community Health Strategy. This position does not supervise other caregivers.
Identifies potential clients through referrals from multiple sources, including but not limited to: Emergency Department or hospital admissions, patients identified by risk stratification tools used in the clinic, and local social services agencies.
Contacts identified clients by telephone, mail, and/or hospital or home visit. Makes additional follow-up contacts with clients as necessary. May arrange transportation to critical medical, behavior and resource appointments as necessary
Completes global needs assessments to identify needs and potential eligibility for any programs and/or assistance for clients
Educates clients about available community resources and works to connect clients to local social service agencies. Provides relevant educational materials and social support
Assists the health care team in the SCFC medical home/team care model in recognizing potential serious problems, in prevention of poor health and social outcomes for individuals and communities
Facilitates access to health related services, including but not limited to: assisting clients with obtaining a medical home, providing instruction on appropriate use of the medical home, assisting patients in overcoming barriers to obtaining needed medical care and social services
Provides cultural mediation between communities and health and human services system where appropriate
Empowers individuals to access appropriate prevention and wellness services to develop their own self care
Maintains accurate client records including documentation of all contacts, services provided and outcomes
Develops and maintains strong working relationships with referral sources and community agencies
Participates in community meetings and events with other agencies and organizations regarding community needs, attends continuing education classes and reports information and/or trains peer CHEs.
Attends department and inter-disciplinary team meetings and in-services and consults with leadership on a weekly basis or more frequently as needed. Meets regularly with other members of the team in the home SCFC clinic/medical home assigned.
Supports the vision, mission and values of the organization in all respects.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
Required: Bachelor’s degree in psychology, sociology, social work or other related health care field.
Preferred: Two (2) years’ experience working directly with at risk populations preferred. Bilingual eligible applicants encouraged to apply.
Required: Valid Oregon driver’s license and ability to meet St. Charles Health System driving requirements.
Ability to travel to meet with clients/attend business functions/trainings/meetings and all St. Charles Health System worksites.
Preferred: Two (2) years’ experience working directly with at risk populations.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Proficiency or ability to become proficient in word documents, excel and utilization of electronic health record.
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Strong team working and collaborative skills
Ability to effectively reach consensus with a diverse population with differing needs.
Ability to multi-task and work independently
Attention to detail
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions
Demonstrated ability and experience in computer applications, specifically MS Office
Some basic knowledge of the community being served and its residents, resources and problems
Understanding of federal, state, and local programs and their eligibility requirements
Ability to be pro-active in asking for help with multiple clients and organizations-churches/shelters, non-profits, grants.
Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing.
Occasionally (25%): Bending, reaching overhead, carrying/pushing or pulling 1-10 pounds.
Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
First Shift (United States of America)
Is Exempt Position?
Scheduled Days of the Week:
Shift Start & End Time:
8 - 4:30