Community Health Worker

About the role

Why Join Care Medical Practice? Care Medical Practice is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care!

Overview The Community Health Worker reports to the Maternal Health Program Coordinator with accountability for executing all duties to meet Care Medical Practice requirements. The Community Health Worker (CHW) will provide non-clinical participant outreach and engagement, screening and assessment, coordination of non-clinical services and supports, family and psychosocial support and health promotion coaching, and monitoring of participant wellbeing.

Responsibilities

• Complete all required trainings
• Conduct outreach, engagement, and initial screening/assessment with prospective participants
• Coordinate non-clinical services and supports listed in enrolled participant’s plan of care
• Provide family and psychosocial support and health promotion coaching
• Enter case notes and supporting documentation into participant case files
• Monitor general wellbeing of participants and family
• Support participant transitions of care as directed by your assigned RN-CM
• Support participant participation in group-based health education
• Participate in daily huddles and weekly case conferences
• Maintain lines of referral across SDOH and other social service partners/provide
• Collaboration: The Community Health Worker will ensure that capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of Care Medical Practice.
• Knowledge: The Community Health Worker will provide subject matter expertise in solutions, including determining and recommended approaches, solution deployment and performance evaluation.
• Culture: The Community Health Worker is accountable for creating a productive, collaborative, safe and inclusive work environment for the team and as part of the larger Company.

Qualifications

• Education: Associate’s degree or equivalent in human services, public health, social work or similar field with a record of strong academic achievement
• Experience:
  • At least 1 year case management/care coordination experience in greater Buffalo
  • Must be from and representative of the served community
  • Comfort working primarily in the community in a fast-paced environment
  • Strong, practiced familiarity with Buffalo-area public assistance programs, social service providers, and community-based organizations
  • Experience with electronic medical records preferred
  • Proficient with Microsoft Office applications
  • Experience working as part of a multi-disciplinary team
• Communication: Excellent verbal, written communication and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to Care Medical Practice’s team, investors, partners, and other stakeholders
• Relationships: Ability to build and effectively manage relationships with business leaders and external constituents
• Culture: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company
• Working environment:
  • This position requires both Field and office-based work
  • The job requires frequent travel for home visits and travel to physician offices, hospitals, sub-acute facilities, community partners