Job Details: Job Location: Corporate - Valparaiso, IN 46383, Position Type: Full Time, Education Level: High School, Travel Percentage: Up to 50% , Job Shift: Day, Job Category: Health Care, As a Community Health Worker, you will support the healthcare team by providing patient coaching and conducting motivational interviewing to support patients, families, and caregivers in achieving self-management, self-efficiency, and behavior changes to improve patient health and care outcomes. You will also assist in referring our patients to various community resources.
JOB RESPONSIBILITIES:
- Establishes trusting relationships with patients and their families while providing general support and encouragement.
- Provides ongoing follow up, basic motivational interviewing and goal setting with patients/families.
- Serves as a liaison between clinical staff and patient, by following up with patients regarding their appointments, referrals, and needed resources.
- Helps patients set personal goals and attend appointments.
- Provides referral for services to community agencies as appropriate.
- Helps patients connect with transportation resources and gives appointment reminders to aid in compliance with prescribed plan of care.
- Helps patients connect to needed resources to carry out plan of care (MOWs, HH, Prescription assistance, etc.)
- Works closely with integrated medical team to ensure that patients have comprehensive and coordinated care.
- Remains knowledgeable about community resources appropriate to needs of patient/family.
- Continuously validates and evaluates the effectiveness of the community resources.
- Provides consistent communication to Medical Provider/Care Team Nurse to evaluate patient/family status and reports progress and compliance with identified plan of care.
- Enables and improves culturally and linguistically competent services and care by making efforts to understand the community culture and resources.
- Conducts outreach, implements programs in community that promotes, maintains and improves community health needs and provides resources.
- Collects data to help identify community health needs.
- Advises community groups on chronic disease and diabetes self- management, hypertension, and nutrition.
- Advises clients on general health and exercise and self- care activities.
- Identifies age appropriate needs and resources.
- Follows up hospitalizations and no shows
- Provides situation appropriate social support to the patient utilizing experience lived and learned through training provided at HL
- Provides informal counseling as needed.
- All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
- Performs other duties as assigned.
Qualifications: REQUIRED QUALIFICATIONS:
Education/Training
- High school diploma or equivalent
- Successful completion of a formal CHW training program and Chronic Care Professional (CCP) certificate (HealthLinc will provide training upon hiring)
- Certified Medical Interpreter-Spanish (not required but highly preferred)
Experience
- At least 1-2 years of experience as patient/community facing role within a nonprofit environment, food pantry, WIC, etc.
Skills/Job Requirement
- Strong organizational and time management skills
- Proven ability to work well in a team environment
- Ability to remain flexible and adaptable
- Knowledge of some medical terminology
- Excellent written and verbal communication skills
- Transportation and valid drivers license
- Ability to follow HealthLinc policies and procedures
Technology Skills
- Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
- Basic computer skills (Microsoft Office, EHR, online sources, etc.)
DIRECT SUPERVISION:
N/A
REQUIRED TRAININGS:
- All assigned Relias training