What are the responsibilities and job description for the Community Health Worker position at CenterWell Senior Primary Care?
R-358130
Job Functions
Develop a wholistic view of patient needs related to Social Determinants of Health
Identify existing barriers to engagement with necessary resources and supports
Provide education around maintenance of chronic health conditions, as well as available options
for behavioral care and social support
Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
Conduct Transitions of Care for Observation stays
Refer patient to necessary services and supports
This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
Required Qualifications
High School Diploma or equivalent
Community Health Worker certification, or willingness to complete within one year
Minimum of 2 years of experience working in human services and navigating community-based resources
