Community Health Worker

Responsibilities

• Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.
• Promote and aid patients in establishing self-management skills, linking them to resources in the community including public benefits and social services.
• Crisis management and patient advocacy.
• Maintain patient file/record of appointments, services, follow-ups and assessments based on DHCS requirements of ECM Program and SJCH requirements.
• Liaison between client and community resources, medical / specialty offices and / or when support is needed.
• Work with Medical providers, specialists, therapists, social workers etc. internally and externally, to determine health priorities.
• Empower, support, and educate clients in their re-integration process through mentorship.
• Operate in a supportive role within an interdisciplinary health care team utilizing an integrated care and treatment model.
• Maintain outreach activity calendars and logs according to program standards.
• Collaborate with primary care providers and behavioral health providers to provide health and behavioral interventions that will maximize patient health outcomes.
• Provides support, empowerment, education and targeted case management services to clients.
• Conducts assessments of client's history with medical/dental/behavioral health services, social and economic resources for purposes of linkage.
• Links clients to needed services and facilitates access to community resources.
• Advise clients and others regarding healthcare and other facilities available to them; assist patients in utilizing services; make follow-up contacts when required.
• Attend regularly scheduled and impromptu meetings and maintain communication with program team members and supervisor.
• Collaborate with other departments and agencies when required; and
• Other duties may be assigned or may be modified as business needs dictate.

Qualifications/Licensure

• High School Diploma or GED
• Bilingual English & Spanish (Preferred)
• Familiar with working with managed care plans and/or Medi-Cal
• Experience working with an Electronic Health Record system; eCW preferred.
• Must be able to work independently and alongside a team in assisting clients meeting their goals.
• Available to work Monday-Friday, and some Saturdays when needed.
• Evenings to program and clinical needs.