Community Health Worker Advocate

4 weeks ago

Oak Lawn, Illinois, United States Advocate Health Full time
Job Summary:

The Community Health Worker CMC is a vital member of our team, responsible for providing intensive outreach efforts to identified patient populations. This role requires strong communication skills, the ability to work as a team member, and a passion for working with community members.

Main Responsibilities:

  • Patient Outreach and Resource Navigation:

    • Conduct home visits or visits to other appropriate settings to establish relationships with patients/families and provide general support and encouragement.

    • Conduct intake interviews with patients using established protocols and intake tools.

    • Work with patients and their physicians to develop personal health action plans that are achievable.

    • Assist patients in addressing challenges to care, including transportation, language, family/social support, and other barriers.

    • Schedule appointments and perform reminders for patients, ensuring appropriate resources are available for attending appointments.

    • Follow-up with patients by letter, phone call, text, or home visit on missed appointments or referrals.

    • Assist patients with comprehension of health insurance eligibility, benefits, and navigation.

    • Educate patients on self-care, healthful living, setting and achieving goals, using/reinforcing SUHI's clinical education protocols, APP's evidence-based tools, or other evidence-based tools.

    • Refer patients to community-based resources to adhere to physician recommendations.

    • Alert APP clinical team on patient needs, concerns, and interests, ensuring continuity of care.

    • Keep accurate records of patient contacts and document patient needs, action plans, and follow-up needs in appropriate databases or electronic medical records.
  • Health Education:

    • Provide health education activities for identified health concerns, such as Asthma, Diabetes, Hypertension, and other chronic diseases.

    • Provide informal counseling, education, and social support to assist patients with gaining access to continuous care and enabling services.

    • Coach/encourage patient self-management and adherence to clinical recommendations for identified health concerns, such as Asthma, Diabetes, Hypertension, and other chronic diseases.
  • Community Outreach and Advocacy:

    • Develop and maintain strong working relationships with external and internal contacts through direct contact, including participating in community meetings and care team huddles.

    • Share information and resources, collaborate on initiatives, and provide education to referral sources and community agencies to coordinate access to services.

    • Collect and organize information to be used for current services and future community health education and outreach activities.
  • Program and Care Team Operations:

    • Participate in care team huddles to understand and proactively respond to the needs of the patient population.

    • In collaboration with the clinical team, identify, consolidate, and manage a high-risk patient registry.

    • Assist care team as needed and perform other duties as assigned.

Requirements:

  • High School Diploma/G.E.D. and 2 years of experience, preferably in a related area.
  • Good communication skills, ability to work as a team member, and competent computer skills, including keyboarding and database entry.
  • Ability to handle difficult calls and maintain professional conduct, with a willingness to be flexible with job responsibilities.

Working Conditions:

  • Ability to sustain a full-time, 40-hour work schedule, with flexibility to work extended hours, including evenings and Saturdays, as needed.
  • Ability to navigate city driving and find specific residences, with a valid and active driver's license, and proof of active and lawful car insurance.
  • Familiarity with and experience working in Chicago's South and Southwest communities, with a preference for residents of Southside communities.
  • Passion for and dedication to working with community members, with excellent phone mannerisms and the ability to effectively engage conversation, motivate, and engage patients to participate in our program.

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