The Community Health Worker (CHW) will be responsible for helping members and their families navigate and access community services, identify and overcome barriers to care, provide health education, and adopt healthy behaviors. The CHW will provide social support and informal counseling and advocate for member health needs to improve care and health outcomes.
Under the direct supervision of the Health Services Manager, the CHW will work closely with the Case Management team consisting of Nurse Case Managers, Behavioral Case Managers, and Social Workers. The Community Health Worker will primarily be working out in the community, performing home visits on identified high-risk members, and attending provider appointments as needed.
• Act as an advocate and liaison between the member/family, provider, health plan, and community service agencies.
• Effectively work with people from diverse backgrounds to identify and reduce cultural and socio-economic barriers.
• Must have written and oral fluency in Spanish and English.
• Provide culturally appropriate health education on topics related to chronic disease prevention, maternal and child health, physical activity.
• Help member develop health management plans and goals.
• Coach members in effective management of their chronic health conditions and self-care.
• Conduct intake interviews and health screens, including accurately and consistently following referral guidelines for enrolling and/or referring members into the Case Management program.
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with members/families.
• Follow-up with members via phone calls, home visits and visits to other settings where patients can be found.
• Help members in utilizing resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible.
• Assist members in accessing health related services, including obtaining a primary care provider, overcoming barriers to obtaining needed medical care and social services.
• Be knowledgeable about community resources and provide referrals to patients/families as appropriate.
• Attend regular staff meetings, trainings and other meetings as requested.
• Manage assigned caseload of members
• Work collaboratively and effectively within a team.
• Document activities, plans of care, and results in an effective manner while strictly adhering to the policies and procedures in place.
• Other duties as assigned.
• Knowledge of some medical terminology preferred.
• Computer skills and experience with Microsoft Office Products.
• Must be able to verbally communicate proficiently and present yourself professionally.
• Critical thinking/problem solving
• Ability and willingness to provide emotional support, encouragement and motivation to members
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, and providers.
• Flexibility, willingness to learn new responsibilities
• Willingness to work in a constantly changing environment.
MINIMUM EDUCATION: High School Diploma/GED
MINIMUM EXPERIENCE: Written and oral fluency in Spanish and English.
• Experience working in a community-based setting for at least 1 year