Community Health Worker

6 days ago

Lewes Delaware, United States Beebe Healthcare Full time
About the Role

Beebe Healthcare is seeking a skilled Population Health Specialist to join our team. As a trusted member of the community, you will serve as a liaison between health and social services, facilitating access to services and improving the quality and cultural competency of service delivery.

Key Responsibilities
  • Assist patients and families in navigating and accessing healthcare, community services, and resources
  • Promote adoption of healthy behaviors
  • Build and maintain relationships with patients via telephone, clinic sites, mobile health clinics, home visits, and community locations
  • Provide appropriate training and oversight
  • Support providers and Care Coordinators with care management and community outreach
  • Promote, maintain, and improve the health of patients and families
  • Behave professionally and promote values of respect, exceptional service, continuous improvement, safety, trust, and transparency
  • Pursue excellence in improving community health status
  • Be patient-centered, flexible, and organized
  • Assess social needs using a standardized social barrier assessment tool
  • Link participants with community resources to address health-related social needs
  • Link participants to clinical and administrative services
  • Assess functional and social needs of members and collaborate to develop and implement solutions
  • Establish goals and care plans to meet functional and social needs
  • Implement care plans
  • Work collaboratively with the multidisciplinary team to address medical, functional, and social barriers to care
  • Bridge gaps for previously un-engaged patients and those with lost contact
  • Identify, refer, and coordinate available community resources for non-medical needs
  • Ensure patient access to services
  • Register and schedule patients in the EMR
  • Accurately document in patients' electronic medical records (EMR), using Athena and/or Cerner
  • Document patient interactions for follow-up purposes
  • Provide patient and family education regarding follow-up needs during visits
  • Participate in organizational quality initiatives
  • Participate in multidisciplinary team meetings to optimize care delivery (e.g., Microsoft Teams virtual meetings)
  • Commit to the mission, vision, and strategic goals of Beebe Healthcare, integrating values of compassion, integrity, and performance
Requirements
  • Ability to travel up to 50% of the time for field-based work
  • Schedule is Monday - Friday, 8:30am to 5:00pm with possibility of need-based flexibility
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Demonstrates sensitivity and empathy in dealing with patients and families under stress
  • Uses knowledge and judgment in assisting patient and families in problem solving
  • Utilizes decision making skills in evaluating alternatives and determining best plan of action
  • Works under pressure of time and shifting priorities
  • Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness and efficiency
  • Adapts to changing patient and/or organizational priorities
  • Ability to drive to and from a variety of settings in varying weather conditions
  • Excellent organizational skills
  • Knowledgeable of local community resources
  • Previous experience as a CHW and knowledge of community resources highly desirable
  • Soft Skills: Knowledge of culture and values of communities served Familiarity with the resources available in Sussex County Ability to work with diverse care teams
  • Exhibit independent professional judgement within boundaries of role, but the ability to consult and engage with other team members for improved patient outcomes
  • Valid Delaware driver's license and access to an insured automobile that lists employees on the insurance policy
  • Familiarity with Microsoft Office applications (i.e., Word, Excel, Outlook)
  • Ability to deal with frequent changes, delays, and/or unexpected events
  • Ability to establish positive, supportive, and trusting relationships with and among patients, their family members, and colleagues
  • Ability to work collaboratively and effectively within a team
  • Ability to take the initiative, problem-solve, and make decisions
  • Having empathy and compassion for those struggling with their health and issues in their lives
  • Strong oral and written communication skills in English
  • Strong oral and written communication in Spanish is preferred but not required
  • Strong organizational and effective time management skills
  • Willingness to advocate for patients in the healthcare setting
  • Willingness to learn new things (such as new computer programs, i.e., Unite Delaware; or new skills)
Qualifications
  • High School Diploma or GED
  • At least two years related experience with community engagement and/or health (i.e., medical assistant, classroom assistant, CHW, outreach worker, volunteer, etc.)
  • Additional education may substitute for required experience
Preferred Qualifications
  • 3+ years of experience in working with at risk populations
  • 2+ years residing within Sussex County
  • Previous experience as a CHW and knowledge of community resources highly desirable
  • CHW Certification
  • 1+ years of knowledge of Medicare/Medicaid population
  • Field based experience: Certified Nursing Assistant / Home Health Aide, or Medical Assistant
  • Bilingual fluency in Spanish and English
  • Experience working in managed care

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