Community Health Worker
1 month ago
Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.As a private, non-profit 501(C) (3) community health organization, we serve over 414,995 medical, dental, and behavioral health visits from more than 87,099 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.The Community Health Worker (CHW) will work with Enhanced Care Management (ECM) patients to improve their whole health through outreach and engagement activities by helping patients navigate/access community services/resources and adopt healthy behaviors. This position will serve as an integral component of the Street Medicine program, engaging and enrolling individuals experiencing unsheltered homelessness into ECM. Additionally, this role will encounter and manage a shifting landscape to meet the ECM needs of the homeless and underserved populations. The CHW will split their time between providing ECM services to patients in the community and in the clinical setting(50/50 split). ResponsibilitiesMaintains situational awareness and ensures scene safety when providing services in the communityConducts community outreach and establishes trusting relationships with patients while providing general support and encouragementManages and provides ongoing follow-ups to an assigned caseload of patients including:Schedules patient appointments and encounter patients using EMR Registration programUses basic motivational interviewing and goal settingConducts phone calls, home or living environment visits, and visits to other settings where patients are locatedAssists patients attend appointments through assessing and addressing access barriersProvides referrals for services to community agencies as appropriateAssists patients connect with transportation resources and provides appointment reminders, as neededAssists patients with completing applications and registration formsConducts eligibility determination, enrollment, and follow up with uninsured patientsLiaises between patients and community service agencies to ensure patient needs and rights are met, including collaborates with community providers to ensure continuity of careAssists patients in navigating the healthcare system by finding and following up by phone and in-person with eligible ECM patientsDocuments and shares patient barriers with ECM team and PCP to improve care and outcomesUtilizes evidence-based approaches when engaging with patients to increase their sense of control over their health, such as motivational interviewing to promote collaboration between patients and their medical/behavioral care teamCommunicates and delivers easy to read information about health and wellness to the community and provides information on ECM patient benefits and servicesAdvocates on behalf of ECM patients in the home or their living environment to community and provider organizationsBuilds and maintains a positive working relationship with providers, including interactions within provider offices, phone, email, fax, and other approved communication methodsAssists the ECM team and providers to understand the culture, norms, beliefs, and preferences about patients and their communities by representing the community's voiceHelps create messages and materials that fit community culture and delivers messages to fit the culture of patientsWorks collaboratively within the ECM team to discuss responsibilities, task sharing, conflict resolution, and patient case reviewsCollaborates on patient care issues with other ECM team patientsParticipates in weekly case reviews and consults with the patient's PCP before taking any clinical actionEnsures documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards, including recording required documentation in eCW and managed care plans ECM portal within one dayParticipates in required staff meetings or other activities, as assignedQualificationsEducation/ExperienceHigh school/GED requiredValid BLS certification required upon hireTwo years' healthcare, behavioral health, street medicine, or social services industry experience requiredExperience working with unsheltered homeless and/or personal lived homelessness experience preferredExperience working in outreach and customer service within the medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues preferredValid CA Driver's License and proof of auto insurance requiredBilingual (English/Spanish) or (English/Arabic) preferredAdditional Qualifications(Knowledge, Skills and Abilities)Knowledgeable about and experience with numerous cultural issues, such as immigration, socioeconomic, LGBTQIA+, seniors, etc.Knowledgeable about and experience with trauma-informed practices, mental health conditions and addictive disordersAbility to perform intermediate computer and data entry skillsAbility to apply emotional and cultural intelligence to provide appropriate communication and patient careAbility to sufficiently engage patients in a variety of settings including phone, in person/homes, community streets/shelters, and/or healthcare settingsKnowledgeable about the community-based resources, especially non-professional resources and their reputation in the communityAbility to develop relationships with community patients and leaders, including faith-based communityAbility to make decisions and sound judgements to anticipate the needs of patents and knowing when to consult with the team, supervisors, and expertsExcellent verbal and written communication skills, including superior composition, typing and proofreading skillsAbility to interpret a variety of instructions in written, oral, diagram, or schedule formAbility to successfully manage multiple tasks simultaneously, including changing priorities and time sensitive deadlinesExcellent planning and organizational abilityExcellent teamwork and relationship building skillsAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPhysical RequirementsAbility to lift/carry 20 lbs/weightAbility to stand for long periods of timePay Range: $25.05 - $29.71 per hour, depending on experience.
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