Community Health Navigator: Bridge to Better Wellness

8350 Oak Street Health MSO LLC; Fort Wayne (IN); On-site; USD 26,000 - 44,000; Full time

Benefits offered by this job

Comprehensive benefits

Competitive pay

Job summary

Oak Street Health is seeking a Community Health Worker in Fort Wayne, IN to bridge patients, families, and medical systems by promoting health literacy and access to community resources. The CHW advocates for patients, conducts outreach, and supports care teams to remove barriers to care and wellness.

The role requires strong communication, flexibility, problem-solving, and knowledge of the local community.

Qualifications

• Minimum 1 year of experience in healthcare, community-based, case management, or social service environment
• Strong oral and written communication skills
• Ability to manage multiple priorities while maintaining a positive attitude
• Dedication to serving the community and building meaningful relationships
• Access to reliable transportation and ability to travel throughout the community

Responsibilities

• Establish and maintain relationships with patients, community organizations, team members, and partners to coordinate patient needs
• Manage patient referrals defined by the care team & collaborate with the Medical Social Worker on action plan
• Facilitate communication between all identified parties involved in patients’ care as needed (e.g., family members, caregivers, medical providers, community-based organizations)
• Form relationships with and build an inventory of local community organizations that may benefit our patients
• Connect patients to state and local community resources related to housing, transportation, food, and activities of daily living among other social and physical barriers to health.
• Assist patients with completion of applications for accessing eligible benefits and resources
• Promote goal setting and achievement to improve patients’ quality of life and self efficacy with patients. Goal definitions are agreed upon by the care team
• Meet with patients in patient-centered and patient-preferred locations (e.g., Oak Street Health center, patient’s home, external medical provider facility, community setting)
• Community Health Workers should plan to spend about half of their time outside of the center in patient-centered locations; this means having access to a reliable means of transportation to do so is required
• Drive engagement with high risk individuals (e.g., completed specialty appointments, adherence to Post Discharge Visits) may include accompaniment to appointments
• Complete referrals to organizations and agencies as needed
• Deliver culturally appropriate health education in the areas where OSH has provided competency training to the CHW
• Support care team decision making through participation in interdisciplinary team meetings
• Document interactions with patients in electronic medical record in a timely manner while maintaining HIPAA standards and confidentiality of protected health information
• Manage time, set priorities, work independently, and collaborate effectively with an interdisciplinary medical team
• Other duties as assigned

Skills

Oral and written communication

Multitasking

Transportation access

US work authorization

Computer skills

Community outreach

Education

CHW certificate or related degree preferred

Associates or Bachelors in related field

Job description

Oak Street Health is seeking a Community Health Worker in Fort Wayne, IN to bridge patients, families, and medical systems by promoting health literacy and access to community resources. The CHW advocates for patients, conducts outreach, and supports care teams to remove barriers to care and wellness.

The role requires strong communication, flexibility, problem-solving, and knowledge of the local community.