Community Health Worker - Pathways/MSS

002 Sea Mar Community Health Center; Aberdeen City; On-site; GBP 21,000 - 26,000; Full time

Job summary

Sea Mar Community Health Centers is recruiting a Pathways Community Health Worker to connect patients with health and social services using the Pathways Model. The CHW will provide services in the home, community and office, documenting interventions and monitoring progress through established Pathways checkpoints.

The position emphasizes advocacy, cultural liaison work, and collaboration with HUB partners, program managers and PCPs to identify and address barriers to care and improve health

Responsibilities

• CHW will work primarily out in the community, where she/he can reach and be accessible to the patients.
• Be a patient advocate and conduct standardized intake and risk assessments.
• Document all interactions and assessments in Pathways and Sea-Mar's EHR.
• Attend trainings and coordinate with Pathways, Sea-Mar and partner entities.

Job description

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization

Job Title

Pathways Community Health Worker

Position Summary

The Community Health Worker (CHW) will work in and according to the training provided by the Pathways Model to eliminate or mitigate barriers to health and social services as identified through the client assessment. This position will work with clients that meet the criteria established by the local HUB. The CHW will serve as an advocate and link, connecting patients to appropriate community resources and services within the local HUB. The CHW will provide services in the home, community and office. CHW will document all client interventions and services provided. This is a results-oriented program and success will be measured by the completion of checkpoints within the established Pathways, and improved client self-efficacy and health care outcomes.

Duties and Responsibilities

As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally aware services.

Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:

• Understanding and empathizing with client needs
• Surpassing client expectations
• Demonstrating a high level of integrity
• Exhibiting compassion and commitment
• Advocating for social justice
• Taking pride in individual work as well as that of the team
• Continually learning to stay current with industry standards, best practices and technology

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily.

Responsibilities

Essential duties and responsibilities include but are not limited to those listed below. The CHW may be required to perform other duties as assigned. Under the supervision of the Pathways Supervisor, the CHW will:

• Work primarily out in the community, where she/he can more readily reach and be accessible to the patients.
• Be a patient advocate.
• Conduct standardized patient in-take and risk assessments.
• Based on the assessment, work to complete the assigned Pathways in a timely manner.
• Document all interactions and assessments in a timely manner, using Pathways documentation platform and Sea-Mar's EHR.
• Attend trainings and meetings by/for Pathways, Sea-Mar Community Health Centers, and other entities as assigned.
• Establish a trusting relationship with the target population, referred clients, and community partners.
• Identify and assist clients with client identified health and social service goals as appropriate.
• As appropriate, act as a cultural liaison between the health and human service system(s) and clients. Where appropriate communicate clients' cultural preferences and needs with health and human service system(s), community partners, etc.
• Assist in the development of strategies to address or eliminate barriers to care.
• Work collaboratively with the Program Manager, PCP, and other assigned personnel to make sure that all relevant client needs are identified and addressed.
• Collaborate with HUB partners to identify high-risk clients and assist in the coordination of care with Sea Mar Community Health Center and with other community partners and service providers.
• Demonstrate a commitment to the mission, vision and goals of Sea-Mar Community Health Centers including the ability to integrate Core Values of Community Health Workers as defined by the American Association of Community Health Workers: Access, Acceptance, Advocacy, Excellence, Learning, Partnership, Social Justice, Strength, Trust and Unity.
• Participate in ongoing assessment of the client and family needs to determine if expected outcomes are reached and to ensure implementation and/or adjustment of the service plan.
• Providing ongoing follow-up on treatment on PCP plans utilizing basic motivational interviewing and goal setting with clients/families.
• Follow-up with clients via phone calls, home visits and visits to other settings where clients can be found.
• Assist clients with completi