Job Overview
The Lead CHW/Project Coordinator oversees the implementation of casework and key activities of assigned grant through Bridges to Wellness Program. The Lead CHW/Project Coordinator will work with CHW’s to promote the development of counseling skills and approaches through evaluations and assessments.
The Lead CHW/Project Coordinator is responsible for helping clients and their families navigate and access community services, other resources, and adopt healthy behaviors. Through home visiting, the Lead CHW/ Project Coordinator will assist clients in overcoming barriers to health, social services, education, and employment. The CHW based out of Access Tusc will report to Bridges to Wellness HUB Director and support in the communities/agencies with new CHW’s.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Essential Duties and Responsibilities include but are not limited to the following:
Grant program implementation activities:
o Data reporting to assigned grantors by harnessing data in Electronic Medical Record
o Metric/goal monitoring of the assigned grants to assist with Quality improvement of Care Coordination
o HUB team/partnership communication for projects
o Coordinating meetings for grant staff and key community partners
o Project documentation management in grant software system to report outcomes quarterly.
o Assist with marketing and referral development for certain grant projects.
o Complete Chart Audits for CHW’s in project and assist with small caseload as determined by Director.
o Attend CHW meetings, training courses, and other meetings as requested.
o Will provide reporting/billing assistance to Data Analyst.
o Other duties as assigned.
RN/LSW/Community Health Worker Part-time Caseload:
o Initiates, assigns and closes out completed service protocols with an array of evidence based models. (Pathways, GUIDE, Care Transitions.)
o Reviews, evaluates, and interprets client records, vital statistics, and other data affecting client health and well-being to assess client needs and to develop client’s care plan.
o Provides teaching and guidance to CHW’s to improve quality and quantity of service.
o Interviews clients with problems such as personal and family adjustments, health, finances, employment, food, clothing, housing, utilities, and physical and mental impairments; completes appropriate checklist and enters information from home visits into database no later than 48 hours after client contact.
o Follow-up with clients via phone calls, home visits and visits to other settings where clients can be found.
o Provide referrals for services to community agencies as appropriate, help clients connect with transportation resources and give appointment reminders,
o Advocates for clients and acts as a liaison between the client/family and community service agencies (i.e., schools, hospitals, support groups, etc.).
o Counsel’s clients individually, in family or other small groups regarding plans for meeting needs and aids clients to mobilize inner capacities and environmental resources to improve social functioning.
o Determines client's eligibility for services such as financial assistance, insurance, and other programs in place to assist individuals and refers clients to community resources and other agencies to meet identified needs.
o This position requires the employee always maintains HIPAA compliance. Training will be provided within 30 days of hire and annually after.
o Other duties as assigned.
KNOWLEDGE/SKILLS/ABILITIES
· Must have experience and knowledge in working with individuals diagnosed with chronic disease.
· Knowledgeable about community resources appropriate to the needs of clients/families.
· Effective time management practices (able to organize time, prioritize projects efficiently and effectively); de-escalation skills; problem-solving skills and managing change and conflict; and knowledge of computer software.
· Commitment to agency mission statement; able to develop trust and effective working relationships with staff members, individuals, families and external & internal professionals; and strong information gathering/interviewing techniques.
· Microsoft Experience needed for Excel, Teams, Word, PowerPoint.
· Professional and self-starting traits are needed.
EDUCATION and/or EXPERIENCE
RN,LPN, or Social Work license and experience, preferred.
· Formal training and/or related course work from a college or other education institution, preferred.
· Experience as a certified Community Health Worker/Social worker/Medical Field, preferred.
· High School diploma or GED required.
· Valid driver’s license.
Physical Requirements
· Ability to lift, push, pull up to 50lbs occasionally.
· Ability to sit or stand, using a desktop computer or a laptop, as well as other office equipment and supplies continuously.
· Ability to operate a computer keyboard, mouse, telephone, copier, and other standard office equipment.
· Ability to read printed materials and information displayed on a computer screen for extended periods of time.
· Ability to communicate clearly in person, by phone, and through virtual meeting platforms.
· Ability to occasionally stand, walk, bend, reach, stoop, or move throughout the office and community settings.
CERTIFICATES, LICENSES, REGISTRATIONS
· Must successfully complete the CHW training within 12 months of hire date and be certified through the Ohio Board of Nursing OR hold a certification/degree in medical or social work field.
CHW SCOPE OF PRACTICE
►Bridge the gap between communities and health and social service systems
►Navigate the health and human services system
►Advocate for individual and community needs
►Provide direct services to clients
►Build individual and community capacity
Pay: $50,000.00 - $57,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
