Community Health Worker

Plymouth MA

31 March, 2021

1:50 PM

Description

The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services and resources, and adopt healthy behaviors. The CHW supports providers and the Care Team through an integrated approach to care management and community outreach. Their activity will promote, maintain, and improve the health of patients and their families by providing social support and informal counseling, advocating for individuals and community health needs, and conducting community outreach. Essential Functions: • Establishes trusting relationships with patients and their families while providing general support and encouragement. • Provides ongoing follow-up, basic motivational interviewing and goal setting with patients/families. • Conducts intake interviews with patients, including enrolling and/or referring patients into community partner programs such as housing, food and other social determinants of health needs.• Follows up with patients via phone calls.• Assists patients with completing applications and registration forms. • Assists patients  with setting personal goals and attending appointments, connects with transportation resources and gives appointment reminders in special circumstances.  • Provides referrals for services to community agencies as appropriate. • Exhibits excellent working relations with patients, visitors and staff, effectively communicating HHSI’s mission. • Works closely with medical provider to help ensure that patients have comprehensive and coordinated care. Follow-up with patients should be continuous from initial identification through closure. • Works cooperatively with other clinical personnel assigned to the same patient. • Acts as a patient advocate and liaison between the patient/family and community service agencies (i.e. schools, Department Human Services, Heath Care for Homeless, hospitals, support groups, etc.). • Records patient care management information in the EMR (training provided) and other software no later than 24 hours after patient contact. • Attends regular staff meetings, trainings and other meetings as requested.• Reviews care plan prepare for and participate in case discussion at Care Team meeting Required/Preferred Education, Experience and Skills:• High School Diploma/GED.• Written and oral fluency in English required, Bilingual (English/Portuguese) preferred. • Experience and comfort working in a multi-cultural setting. • Ability and willingness to understand the community served - community connectedness. • Experience working in a community-based setting for at least 1 to 2 years preferred. • Knowledge of some medical terminology preferred. • Basic computer skills including Microsoft Office, Word, Excel, PowerPoint. • Ability to initiate and maintain positive working relationships with internal and external partners. • Good communication skills, such as listening well, and using language appropriately. • Ability and willingness to provide emotional support, encouragement and motivation to patients/families.  Please apply online at https://www.hhsi.us-about-us/join-our-teamHarbor Health is an Equal Opportunity Employer M/F/V/D.