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BH Community Health Worker

2 months ago


Stratford, United States Optimus Health Care, Inc. Full time
Job DescriptionJob Description

Optimus Health Care is a Federally Qualified Health Care Center with sites operating in Bridgeport, Stamford and Stratford, CT. We are the largest provider of primary health care services in Fairfield County, proudly serving all patients regardless of their ability to pay.

Join our team-based model of care delivered in a kind and compassionate manner.

We are currently recruiting for a Full-time Behavioral Health Promoting Integrated Care ( PIC) Community Health Worker. This position is 100% grant Funded.

The PIC Community Health Worker works closely with medical and behavioral health care teams; fellow Optimus sites CHWs, and social services agencies to provide care coordination, connection to resources and support to improve clients’ health and general well-being. Works in both clinical and community-based settings. Under the supervision of the PIC Program Director, they assess and provide interventions to aid patients to cope with social, emotional, economic, and environmental problems.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

1. Completes social determinants of health assessments, person-centered recovery action plans oriented to the client’s cultural background including gender identity/sexual orientation. Work with teams to create a trauma informed environment for patients.

2. Provides behavioral health resources and interventions when needed (ex: providing breathing exercises for anxiety or sleep hygiene suggestions)

3. Schedules and behavioral health screenings, face-to-face whenever possible and clinically appropriate. Supports safe transitions of care for members moving between care settings.

4. Works with primary care providers and other CHWs to facilitate referrals to behavioral health department, works with patients to increase compliance with attending intakes, appointments and assists decreasing barriers to participation.

5. Assists clients in the clinic setting. Continuously identifies and resolves barriers to meeting goals and complying with the Individual Recovery Plan and reports barriers identified to the PIC Program Manager.

6. Documents all client encounters and care coordination efforts made on behalf of clients; maintains comprehensive electronic client files in a consistent and timely fashion.

7. Works with PIC team to provide accurate data collection for program reports as well as Optimus team-based care reporting needs.

8. Coaches and facilitates communications with clients in effective management of self-care. Assists clients in understanding care plans and instructions. Motivates clients to be active and engaged participants in their health and overall well-being.

9. May provide support and advocacy during medical and behavioral health visits or when necessary to guarantee clients' behavioral health and medical needs are being conveyed. Follows up with both clients and providers regarding action plans.

10. CHW will be held accountable and assessed by targeted measures from the PIC Grant.

11. Facilitates client access to community resources, including housing, food, and clothing assistance, transportation, parenting, providers to teach life skills, vocational, educational resources, and relevant mental health services. Assists clients in utilizing community services, facilitating appointments with community

EDUCATION: High School Diploma required. Bachelor’s degree in social services preferred.

EXPERIENCE: Previous experience in working with community-based programs for persons with behavioral health diagnoses. Preferred: Applicant has a well-developed understanding of chronic disease and its impact on behavioral/mental health treatment. Experience working with an ethnically, culturally, and racially diverse office staff and patient population.

COMMUNICATION SKILLS: Excellent interpersonal skills required including, but not limited to appropriate email etiquette, active listening, and thorough revision of all written assignments.

LICENSURE / CERTIFICATION: Certification of Community Health Worker preferred.

Working for Optimus:

• OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function.

• 100% Outpatient Setting

* Excellent health & welfare benefit options

• Competitive Compensation

• Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.

*NHSC Student Loan Repayment, if eligible

We are proud to be an Equal Opportunity Employer




To be part of our organization, every employee should understand and share in Optimus’ Vision, support our Mission, and live our Values. These values-outstanding, patient-centered, trustworthy, integrity, multicultural, understanding, and supportive -help guide what we do, as individuals and professionals, every day.

All employees of Optimus Health Care must be fully vaccinated against COVID-19 subject only to the limited exemptions required by law.