Community Weaver

Health & Hospital Corporation of Marion County; Indianapolis (IN); On-site; USD 36,000 - 48,000; Full time

Job summary

Eskenazi Health in Indianapolis seeks a Community Weaver to serve as a welcoming central point of contact for patients and families seeking information or resources at Eskenazi and in the community.

Under supervision, you will connect patients to a medical home, coordinate with Social Workers and Community Health Workers, and provide warm handoffs to trusted community organizations, ensuring supportive relationships and timely documentation.

Qualifications

• High school diploma or GED with 3 years of community-related experience.
• Associate’s degree preferred.
• Community Health Worker certification preferred.
• Valid Indiana driver's license.
• Flexible hours, sometimes weeknights and weekends.

Responsibilities

• Act as bridging social capital to expedite community connectedness for patients by providing a warm handoff to a trusted community-based organization with follow-up.
• Connect residents to a medical home.
• Works closely with Social Workers and Community Health Workers to accelerate community knowledge and connectivity for the team.
• Supports staff leadership as they participate in neighborhood leadership activities.
• Other duties as assigned
• Perform home visits to patients to provide support, encouragement and guidance.
• Accurately documents home/telephone visit outcomes in a timely manner
• Develop supportive and therapeutic relationships with patients and their families
• Recommends community resources for patients to meet basic needs of housing, food, clothing, transportation and utilities (Caseload 40-50)
• Monitors patient progress and documents follow-up
• Demonstrates commitment to professional growth through supervision

Skills

Interpersonal skills

Communication skills

Microsoft Office

Customer service

Education

High school diploma or GED

Associate’s degree preferred

Community Health Worker certification preferred

Tools

Microsoft Office

Job description

Division: Eskenazi Health

Sub-Division: FQHC

Req ID: 26710

Schedule : Full Time

Shift : Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

Under the general direction of the Health Center Manager the Community Weaver in collaboration with each health center’s Social Work, Community Health, primary care and mental health clinical teams and the Social Determinants of Health (SDOH) team, will act as a welcoming central point of contact for patients and their families seeking additional information or resources that are available at Eskenazi or in the community. This role supports Eskenazi Health’s engagement and partnership with the community surrounding the health center aligning with the mission, vision and values of Eskenazi Health (EH) and strategic plans of EH and EHC. The Community Weaver provides the ultimate in customer service, connecting the patient to Eskenazi programs, helping to navigate between departments, and providing specialized service to address the unique needs of the patient. The Community Weaver connects the community and patients to Eskenazi programs, helping to navigate between departments, and providing specialized service to address the unique needs of the patient. The Community Weaver will proactively contribute to Eskenazi Health Mission: Advocate, Care, Teach and Serve by connecting staff and community to each other in mutually beneficial ways.

Essential Functions and Responsibilities

• Act as bridging social capital to expedite community connectedness for patient by providing a warm handoff to a trusted community based organization with follow-up.
• Connect residents to a medical home.
• Works closely with Social Workers and Community Health Workers, with the goal of accelerating community knowledge and connectivity for the team.
• Supports staff leadership as they participate in neighborhood leadership activities.
• Other duties as assigned
• Perform home visits to patients to provide support, encouragement and guidance.
• Accurately documents home/telephone visit outcomes in a timely manner
• Develop supportive and therapeutic relationships with patients and their families
• Recommends community resources for patients order to meet the basic five needs of : housing, food, clothing, transportation and utilities Carries a caseload of at least 40-50 patients
• Monitors patient progress and reflects this in documentation during follow-up visits
• Demonstrates commitment to professional growth by actively participating in clinical supervision
• Works closely with Social Workers and Community Health Workers, with the goal of accelerating community knowledge and connectivity for the team
• Supports staff leadership as they participate in neighborhood leadership activities.
• Other duties as assigned

Job Requirements

• High school diploma or GED with 3 years of community related experience
• Associate’s degree preferred
• Community Health Worker certification preferred
• Valid Indiana driver's license that meets Eskenazi Health's driving policy requirements
• Flexible hours, sometimes working on weeknights and weekends

Knowledge, Skills & Abilities

• Ability to relate to a variety of people within different cultures, socioeconomic backgrounds and education levels
• Ability to establish and maintain effective working relationships with superiors, coworkers, patients and families
• Willingness to work with patients and their family members or other support persons in the clinic, hospital, home, and community settings
• Basic computer skills with proficiency in Microsoft applications
• Strong interpersonal skills; ability to be both clear and concise in written and verbal communication

Accredited by The Joint Commission and named as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute , Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.