Community Health Worker

3 weeks ago

San Bernardino, United States Sac Health Full time

**Who We Are**:
SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients.

Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified
Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - **NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores**: Primary: 17 | Dental: 25 | Mental: 20

**What We Are Looking For**

The CMT, Community Health Worker supports patients and their families with educational resources about their diseases and helps to navigate the many paths of a healthcare diagnostic and treatment process. Provides age and culturally appropriate information and resources during the diagnostic evaluation. Identifies support groups appropriate for patients and families and coordinates scheduling. Removes obstacles to treatment by scheduling appointments, coordinating referrals, arranging transportation, childcare, translation, and other needed services. Tracks and documents metrics and outcomes. RN is not required but experience in healthcare or social services support is typical.

**_ Schedule_**_: 5 days per week, 8 hours per day, Monday - Friday _**_|_**_ _**_Location_**_: [City], CA_

**ESSENTIAL FUNCTIONS AND DELIVERABLES**
- Assist patients navigate the healthcare system and connect them to community resources. Conduct intake interviews with patients, including enrolling in the Sliding Fee program, and other programs the team deems necessary.
- Assists the team to build organizational relationships with community based organizations and programs. Will be required to engage in community outreach, conduct patient home visits, and collaborate with various community-based entities.
- Develops relationships among primary care teams and assists in the coordination of communication with patients and providers.
- Participates in the systematic population/caseload review, and works with other members of the care team to facilitate patient health and comfort and support the patient and they learn to self-navigate.
- Follow-up with patients via phone calls, home visits and visits to other settings where patients can be found.
- Help patients set personal goals, and attend appointments. Provide referrals for services to community agencies as appropriate.
- Help patients connect with transportation resources and give appointment reminders in special circumstances. Transporting patients is strictly prohibited.
- Be knowledgeable about community resources appropriate to needs of patients/families.
- Be responsible for providing consistent communication to the primary care team to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
- Assist in charting patient health updates in the EHR. Assist in collecting data and reporting on the status of patients.
- Ability to develop spreadsheets and reports and report findings. Must demonstrate a willingness for growth and learning in the area of EMR, MI, and multidisciplinary collaboration.
- Required to make patient home visits or various community based entities as necessary; must have a reliable vehicle, valid driver's license, and auto insurance.
- Other duties as outlined in the official job description.

**QUALIFICATIONS**:

- Education: High School Diploma or equivalent required. AA in Social Work, or equivalent work experience in a medical/mental health setting preferred.
- Licensure/Certification: Valid, active CA Driver's License and auto insurance is required. CHW preferred. As a requirement of this position, must successfully complete and pass Community Health Worker certification and Epic training.
- Experience: 3+ years of experience in a community-based setting or related experience is required.
- Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases.
- Interpersonal Skills: Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; perform basic math functions; manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with mínimal supervision.
- Essential Mental Abilities: Must be fle

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