PRIMARY FUNCTION: The Community Health Worker (CHW) will assist individuals, families, and communities to adopt healthy behaviors; help patients, community members, and their families navigate healthcare systems and insurance plans; and access community and government services. The CHW will provide social support, complete Health Related Social Needs (HRSN) screening, informal counseling, and advocate for individual and community health needs. The CHW will be a liaison between the patient/community members/families, healthcare team, and community-based organizations. Home and community-based visits are work assignment specific but could be an essential function of a CHW’s work. Location assignment and work settings could include: outpatient care areas, patient homes, inpatient settings, skilled nursing, community organizations, and participating in community events. Participation in community events and some evening/weekend hours may be required. ESSENTIAL FUNCTIONS: Manages caseload of patients/community members and completes outreach and follow up as needed. Assists in developing and implementing care plans in cooperation with patients/community members, families, and healthcare team and completes accurate, timely documentation. Responsible for building trusting relationships with patients/community members and their families. Identifies social needs through HRSN screening and provides guidance, supports enrollment and navigate eligible individuals in federal, state, and local private or nonprofit/social service, health and human services programs. Provides culturally and linguistically appropriate health education materials within the scope of training. Assists patients and families in effectively communicating with their health care team, understanding and carrying out their healthcare providers' advice, and communicates to care team any changes in plan or medical condition. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Health and completes other duties as assigned. EDUCATIONAL/TRAINING REQUIREMENTS: High school diploma or GED. EXPERIENCE REQUIREMENTS: 1 year community-based or health care experience preferred; previous work or volunteer experience in a helping/support role required. ADDITIONAL INFORMATION: Mileage for patient/community member engagement is able to be reimbursed if traveling by car.
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