Community Health Worker

Core Responsibilities

• Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs
• Manage patient referrals defined by the care team & collaborate with the Medical Social Worker on action plan
• Facilitate communication between all identified parties involved in patients’ care as needed (e.g., family members, caregivers, medical providers, community-based organizations)
• Form relationships with and build an inventory of local community organizations that may benefit our patients
• Connect patients to state and local community resources related to housing, transportation, food, and activities of daily living among other social and physical barriers to health
• Assist patients with completion of applications for accessing eligible benefits and resources
• Promote goal setting and achievement to improve patients’ quality of life and self efficacy with patients. Goal definitions are agreed upon by the care team
• Meet with patients in patient-centered and patient-preferred locations (e.g., Oak Street Health center, patient’s home, external medical provider facility, community setting)
• Drive engagement with high risk individuals (e.g., completed specialty appointments, adherence to Post Discharge Visits) may include accompaniment to appointments
• Complete referrals to organizations and agencies as needed
• Deliver culturally appropriate health education in the areas where OSH has provided competency training to the CHWs
• Support care team decision making through participation in interdisciplinary team meetings
• Document interactions with patients in electronic medical record in a timely manner while maintaining HIPAA standards and confidentiality of protected health information
• Manage time, set priorities, work independently, and collaborate effectively with an interdisciplinary medical team

Requirements

• Minimum of 1 year of experience in healthcare, community-based, case management, or social service environment
• Strong oral and written communication skills
• Dedication to serving the community and building meaningful relationships
• Proficient computer skills (i.e. Windows, GSuite, Microsoft, etc.)
• Access to reliable transportation and ability to travel throughout the community to various locations
• US work authorization
• Fluency in language that is commonly spoken in the community when necessary. Most often this will include Bilingual English/Spanish
• Experience working on multidisciplinary teams with organizations, agencies, patients, and community members
• Knowledge of community resources and resource navigation
• Preferred Community Health Worker certification or Associates or Bachelors in a related field
• Experience utilizing electronic medical record systems
• A problem-solving orientation and a flexible and positive attitude

Pay

The Typical Pay Range For This Role Is $18.50 - $35.29. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.