Community/Clinical Health Worker

Description

Description

JOB SUMMARY :

Reporting to the Care management leader and working under the direction of the care manager, the Community Health Worker supports implementation of the patient's integrated care plan and works towards resolution of patient needs / barriers. The Community Health Worker facilitates communication between patients, their families, caregivers, providers, and other members of the health care team. The community health worker carries out delegated functions related to disease states and other conditions that have been deemed to be part of the scope of practice for unlicensed staff members. Their focus is to offer individualized assistance to patients, families and caregivers in order to help overcome health care system and community barriers and help facilitate consistent and timely medical care across the continuum of care. Community health workers function as members of the integrated care delivery team.

RESPONSIBILITIES :

• Perform Health Risk Assessments.
• Provide general care management orientation to patients and communicate the goals and objectives of the program.
• Provide assistance for patients referred to / from providers, care managers, and from other points of entry.
• Assist with scheduling medical and specialty appointments. Provide reminder phone calls for appointments and / or follow-up calls post appointment.
• Contact patients to facilitate continuity of care and escalate issues to Care Manager.
• Compile and distribute educational material per patient need in consultation with Care Manager.
• Assist patients with adherence to existing self-management goals or development of new goals (in collaboration with Clinical Staff).
• Assist in identifying individual and / or community needs which encourage healthy lifestyles and

environments (i.e., community resources, transportation assistance, exercise programs, etc.).

Requirements

QUALIFICATIONS :