Community Health Advocate
4 weeks ago
As a Community Health Worker at Accompany Health, you will play a vital role in our integrated care team. Our CHWs are responsible for building trust with our patients and empowering them to live healthy, dignified, independent lives. They are "natural helpers" who are thoughtful and creative in figuring out how to support people in their community.
Key Responsibilities- Build trusting, longitudinal relationships with our patients through in-home, virtual, and community-based visits
- Collaborate with our clinicians by joining their medical visits and helping create a patient-centered care plan
- Conduct an initial assessment for all patients to identify their goals and needs
- Connect patients to local resources and social services, such as helping them apply to SNAP benefits, accompanying them to a senior center, or researching community support groups
- Support patients with chronic disease to take charge of their health, manage their medications, and stay out of the hospital
- Help patients navigate the healthcare system by accompanying them to doctor's appointments, visiting them when they're in the hospital, and helping coordinate their appointments
- Provide health coaching to help patients with behavior change like exercise, smoking cessation, or healthy eating
- Work with your team to build and keep up to date a resource directory of local and national resources (i.e., transportation, housing, financial, food, medication discounts, support groups)
- Document all care and patient communication in our electronic medical record
- Attend regular team huddles and case conferences
- Possess a passion for caring for people in your community
- Have a team player mentality with a can-do attitude
- Be highly organized and comfortable multi-tasking
- Be skilled at advocating for your patients to internal and external teams
- Have cultural competency and enthusiasm for working with diverse groups
- Resident of the Detroit Metro area with an understanding of local resources and experience working with patients to access them
- Experience working with medically complex, elderly, or frail populations
- Be comfortable working with members in-person in their homes 2 days a week, minimum and also over video and phone
- Understand that the role is a hybrid role split between 2 days per week in home visits, 2 days per week in office & 1 day per week remote
- Have a valid unrestricted driver's license and access to an insured vehicle for daily use as driving is an essential function of the role
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