Community Health Worker

Job Details

Mosaic is looking for a compassionate Community Health Worker to serve as a bridge between patients and the care and social services they need. You'll work alongside a clinical team in both clinic and community settings — helping patients navigate systems, remove barriers, and take steps toward better health.

About the Role

This role is a great fit for someone who is self-directed, people-focused, and comfortable working without all the answers in hand. Traditional Health Worker (THW) certification required — or willingness to obtain upon hire.

Responsibilities

• Build relationships and engage patients and their families of all ages, cultures and demographics with positivity, care, and respect while setting and maintaining professional boundaries
• Possess the ability to work independently and as a member of a team, working collaboratively with other Community Health Workers, nursing staff, medical and dental providers, and community partners
• Aid patients and care team members in the development of care plans and patient goal setting
• Screen patients for social determinants of health (barriers) and connect patients to available health and social services resources to help them achieve health and wellness goals
• Stay well informed of available clinic and community-based resources, services and programs and eligibility requirements
• Aid patients in navigating the health and social services system by educating patients about services, eligibility criteria, enrollment processes, providing scheduling and appointment coordination assistance, teaching the skills and strategies to obtain care and self-advocate effectively, completing or reviewing paperwork necessary for service acquisition and financial assistance, reviewing assigned patient lists and contacting patients to facilitate access to resources and services, seeking solutions and services tailored to the needs of each patient, facilitating continuity of care across the health and social services system by following up with patients to ensure needs were met, or to provide additional support, facilitate communication, or coordinate service delivery to avoid duplication of services
• Deliver patient care within HRSA services scope and approved locations, encompassing patient homes, community-based sites, and providing home-based care when necessary and in adherence to defined services and safety protocols. Local travel required
• Document in the electronic health record and other systems as required to fulfill expectations of documentation, coordination, and measurement
• Build and maintain positive working relationships with healthcare entities, social service agencies and community-based organizations while representing Mosaic in and out of clinic
• Notify leadership of opportunities for community partnership or collaboration to benefit patient needs
• Attend and engage in community-based events as assigned, events are sometimes scheduled outside of usual working hours
• Attend community meetings as assigned
• Train and lead patient education opportunities (Ex: Walk with Ease, Living Well Series, etc.) as determined by program and patient needs
• Schedule, recruit for, organize and prepare for teaching or assisting with patient education opportunities and classes as assigned
• Teach basic concepts of health promotion and disease prevention as directed by nursing team
• Provide support and encouragement to patients managing chronic illness as directed by nursing team

Requirements

Excellent communication and interpersonal skills. Strong, proven computer proficiency. Knowledge of community social service agencies and programs. Fluency in Spanish preferred.