Lead Community Health Worker
Yale New Haven Health · New Haven, CT · 1 mo ago
On-siteOTHRFull-time
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the supervision of the Manager, Patient Navigation, the Lead Community Health Worker serves as a lead for healthcare and community-based navigation for referred patients. Responsibilities include working collaboratively on the development and implementation of a new and existing navigation programs with key internal and external community stakeholders and partners, monitoring and triaging patient referrals for navigation, supporting the Manager and CHW team by providing problem solving navigation for high-risk patients. The Lead Community Health Worker is seen as the go-to person for CHW navigation needs and is a valued resource between the HCW Resource Hub, within the Office of Health Equity, across the health system and in our Delivery network communities. EEO/AA/Disability/Veteran Responsibilities Supports The Office of Health Equity, Community Health Worker Hub DevelopmentProvides insight, support and input for department planningAssists the YNHH Manager with developing the screening and navigation policies and procedures documentsDelivers program training for all referral departments across the systemWorks collaboratively with Manager other key stakeholders to implement program milestones at key intervals as outlinedWith support from the Manager, develops training manual and materials for CHWEngages community partners for participationSupports Manager through interview and selection process for CHW's to be hiredProvides training and department orientation to newly hired CHW's as appropriateDevelops training schedule for program CHW's (including but not limited to training in Epic, motivational interviewing, patient engagement, cultural competency, evaluation process, navigation steps patient discharge etc.)Provides training to newly hired CHW's ensuring that key milestones are met and staff are progressing through learning objectivesWorks collaboratively with Manager and team on patient data management and recommends changes and modifications to the system as appropriateServes as the organizational lead for community resourcesMeets with community partners regularly to evaluate service referralsEngages new community partners as necessary for patient needsSupports and provides oversight for referred patients to the CHW Resource HubEstablishes rapport with patients, family and caregivers; exhibits naturally friendliness and helpfulnessMonitors program data and works collaboratively with Manager to monitor high -risk patientsMonitors navigation processes for patients and recommends appropriate changes as necessaryMeets with patients troubleshoots questions and problems as they arise being solution orientedMonitors the enrollment of eligible patients in navigation programProvides referrals to other local agencies as appropriate for servicesProvides navigation services, as needed, to patients enrolled navigation programsAssist with providing patient reminder calls for all appointmentsAssists patients with referrals for transportation services to appointments as necessaryAssists with the coordination of interpreter services as appropriate for patient appointmentsOther related duties or special projects as needed and assignedMaintains accurate patient records and processes client records appropriatelyEnsures that all necessary patient information is documented in patient (paper and electronic) filesMaintains patient records securelyDocuments all client interactions in electronic database with accurate notes indicating interactions with patientsParticipates in physician awareness and community partnership meetingsAttends, as appropriate, meetings with hospital and community physicians and partnersParticipates in and contributes to weekly team meetingsDevelops in-service for screening and referral sitesProvides Community Health Worker staff supervisionIs seen as the go-to person for CHW staff questionsShares feedback with manager for annual performance reviewAssigns work related tasks to the CHW team and monitors progress and outcomes Qualifications EDUCATION Minimum of an Associate's Degree, combined with with prior experience supporting and working within the community (Greater New Haven, Bridgeport, New London, Greenwich/Port Chester). Community Health Worker and/or Patient Navigator training preferred. Experience At least 3 year's experience in health care or human service setting showing progressive increase in responsibilities. Experience in positions such as case manager, community health worker and patient navigator preferred. Excellent oral and written communication skills. LICENSURE State CHW Certification preferred or ability to obtain certification within 1st year of employment. Valid Drivers License required. Special Skills Bilingual Spanish preferred. YNHHS Requisition ID 190246