Community Health Navigator & Connector

Oak Street Health, part of CVS Health; Fort Wayne (IN); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement plan

Job summary

Oak Street Health in Indiana seeks a Community Health Worker to bridge patients, community resources, and medical systems, promoting health literacy and access to services. You will accompany patients through outreach, visits, and referrals to improve care coordination and outcomes.

Ideal candidates have at least 1 year in healthcare or community-based roles, strong communication, and the ability to travel across the community. The role is full-time with CVS Health benefits and competitive pay.

Qualifications

• Minimum of 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.
• Proficient computer skills (Windows, GSuite, Microsoft, etc.).
• Access to reliable transportation and ability to travel throughout the community.
• US work authorization.

Responsibilities

• Establish and maintain strong interpersonal 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

Job description

Oak Street Health in Indiana seeks a Community Health Worker to bridge patients, community resources, and medical systems, promoting health literacy and access to services. You will accompany patients through outreach, visits, and referrals to improve care coordination and outcomes.

Ideal candidates have at least 1 year in healthcare or community-based roles, strong communication, and the ability to travel across the community. The role is full-time with CVS Health benefits and competitive pay.