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Clinical Community Health Worker

3 months ago

Buffalo, United States Evergreen Health Full time
Job DescriptionJob Description

Evergreen Health

The Clinical Community Health Worker uses their knowledge acquired through lived experience to support improved health outcomes for individuals living with HIV across the HIV treatment cascade and care continuum. The Community Health Worker collaborates with the Retention and Adherence Program (RAP) team and members of a patient’s care team to provide strategic individual and group interventions to facilitate antiretroviral (ART) adherence and minimize barriers to reengagement and retention in care. As part of the essential functions of this role, the Clinical Community Health Worker:

  • Utilizes evidence-based interventions that promote adherence to ART as illustrated by the International Association of Physicians in AIDS Care (IAPAC) and the CDC’s “Partnership for Health Medication Adherence” intervention.
  • Participates in agency multi-disciplinary case conferencing on a regular basis and as needed with the Chief Medical Officer, other medical providers, and the Retention Specialists.
  • Provides linkage and referrals to appropriate wrap-around services and programs available throughout Evergreen Health and the community to address any identified barriers.
  • Monitors patient lost to care lists regularly to reengage and patients in medical care. They will assist with identifying patient barriers to retention in care and correlate services meaningfully.
  • Provides a welcoming and customer service-oriented experience for patients that is rooted in harm reduction and is trauma-informed.
  • Reviews and understands the appropriate grant work-plan from which program funding is obtained including all deliverables, required data/statistical requirements and follows all defined standards and/or guidelines as defined by the New York State Department of Health.
  • Provides all services according to the established AIDS Institute’s Retention and Adherence Services Program Guidelines including program orientation, appointment reminders, home visits, peer adherence support, etc. Expanded outreach will be completed working with the Retention Specialists.
  • Works directly with the HIV/AIDS treatment team to establish peer-based relationships with enrolled patients, serving as a liaison between the patient and medical/supportive service team. This is accomplished through phone calls, visits, encouragement of treatment, and sharing their own experiences with program participants.
  • Organizes and facilitates an adherence group for people living with HIV/AIDS.
  • Maintains complete, current and accurate patient files through the electronic medical records system (Medent) complying with agency protocols and confidentiality policies. Completes documentation of all patient encounters within the Medent system ensuring all input is current and accurate.
  • Supports health literacy skills by providing patient education in accessible language, facilitating communication among the patient and care team members, and empowering patients to make informed decisions about their health and wellbeing.
  • Actively strives to improve patient service delivery through participation in QI/QA activities working closely with quality and data team to reduce errors in reporting and to ensure data integrity.
  • Maintains a positive and respectful attitude providing professional customer service to all patients, and Association staff, always recognizing that patient needs are the Association’s top priority.

Qualified candidate will have a minimum of three (3) years of experience in a clinical setting providing direct patient services surrounding linkage, retention and HIV viral load suppression. Candidate should be a member of Evergreen Health’s target population with a willingness to serve as a liaison between Evergreen’s Primary & Specialty Care Services team and the community. Candidate must demonstrate excellent verbal and written communication skills. Candidate will have a positive and team-oriented attitude with excellent customer services skills. Ability to handle sensitive material, maintaining the highest level of confidentiality and displaying sound judgment. Candidate must have excellent organizational and time management skills and have high level of accuracy and attention to detail. Sensitivity toward cultural diversity, people living with HIV/AIDS and lifestyle and addiction issues essential.

Job type: Full-time

Required education/experience: three (3) years of experience in a clinical setting providing direct patient services surrounding linkage, retention and HIV viral load suppression. Candidate should be a member of Evergreen Health’s target population with a willingness to serve as a liaison between Evergreen’s Primary & Specialty Care Services team and the community.

What Evergreen Health Offers You:

  • Multiple comprehensive medical health insurance plans for you to choose from
  • Dental and Vision coverage at no cost to you
  • Paid Time Off package that equals 4 weeks of time in your first year
  • 403b with a generous company match
  • Paid parking or monthly metro pass
  • Professional development opportunities
  • Paid lunch breaks