Community Health Worker Job at One Health
The Community Health Worker supports the resource needs of our community’s most vulnerable patients. This community facing position helps patients navigate social systems and barriers to care through referrals and direct services such as care coordination, delivering curriculum, Social Determinants of Health screening and assistance with resources and benefits.
About One Health:
With multiple clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy, behavioral health, and community and public health services to rural populations through an integrated approach to health care.
One Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Benefits: We offer a competitive compensation package that includes paid time off, nine paid holidays, discounted health care for employees and their family members, as well as health, dental, & vision insurance, disability insurance, health savings account, and matching retirement plan for all employees working at least 20 hours/week.
Under supervision of the Health Advocacy Manager, the CHW works closely with providers, care teams, Regional Community Action Team (RCAT), and social services agencies to provide short term care coordination and connection to resources and support to program clients to improve their health and general well-being through education and provision of coordination of care and services. Works in both clinical and community-based settings, including clients' homes. May frequently act as a clinical-facing CHW and provide support for the clinical-facing Community Health Advocate (CHA) team.
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Duties and Responsibilities
- Assists clients in their homes, community, or clinic setting. Communicates to clients/patients the purposes of the Community Health program and the impact it may have on their wellbeing. Helps patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
- Documents all client encounters and referrals made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic client files, which include client notes, release of information, assessments and other medical documents acquired on behalf of the client. Documents activities, service plans, and outcomes achieved by client in an effective manner.
- Advises client on the proper use of emergency rooms and provides information for alternatives. Supports patients in effective management of their prescribed treatment programs for chronic health conditions and self-care. Assists patient in understanding care plans and instructions. Motivates patients/clients to be active and engaged participants in their health and overall wellbeing.
- Assists clients in accessing health related services, including but not limited to: obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and /or social services.
- Provides support and advocacy during initial medical visit or when necessary to assure clients' medical needs and referrals required are being conveyed. Follows up with both clients and providers regarding health/social services plans.
- Facilitates communication and coordinate services between providers and the clients/patients. Coordinates and monitors services, including comprehensive tracking of clients' compliance in relation to care plan objectives.
- Performs targeted outreach to patients identified through risk stratification, service contracts, payers, or other means to schedule appointments for patients recommended by the care team, and to connect patients with services within the organization and community.
- Travels extensively to client homes, community locations, various agencies, and other outreach destinations.
- Participates on community consortiums.
- Works with teams on shared resource planning and development.
- Involvement in public outreach events, advocating for the needs and perspectives of individuals and communities.
- Follows safe home visiting protocols and uses good judgement.
- Ability to be self-directed in unsupervised environments.
- Adheres to all One Health Policies and Procedures.
- Participates in performance optimization and risk management activities as required.
- Cooperates and abides by all elements of One Health’s Compliance Program.
- Provides exceptional customer service and models the mission of One Health when interacting with internal and external stakeholders promoting a positive image for the health center.
- Performs other duties as assigned or required with or without prior notification.
MINIMUM JOB QUALIFICATIONS:
Education/Certificates/Licenses:
Required
- High school diploma or GED
- BLS Certificate upon hire
- Valid driver’s license and insurability
- Community Health Worker Certificate within the first six months of employment
Experience:
Required
- Proficient computer skills to include internet-based applications
- Ability to perform in a fast-paced environment while managing multiple priorities
- Ability to be well organized and accountable for time and activities with remote supervision
- Must have a passion for serving others while adhering to and demonstrating exceptional attention to boundaries and professionalism
- Must be a member of the community served and/or demonstrate involvement in community served
Preferred:
- 2 years’ experience working in a health care or community service setting
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