Senior Community Health Navigator & Care Coordinator

Hennepin Healthcare; Minneapolis (MN); On-site; USD 42,000 - 62,000; Full time

Job summary

Hennepin Healthcare is seeking a Community Health Worker to support the Women’s Health Clinic in Minneapolis. This role involves coordinating care, helping patients navigate the health system, and connecting them with community resources and self-management education.

Responsibilities include assisting with appointments, documentation, and coordination of services across the continuum, with a focus on reducing barriers to care and promoting health outcomes for patients with chronic conditions.

Qualifications

• Completion of the Community Health Worker certificate program through an approved college or technical school in Minnesota. Employees must have this completed within 18 months of hire to maintain employment.
• Unique Minnesota Provider Identifier (UMPI) will be acquired through the onboarding process, if not already acquired
• Driver's license and proof of insurance, if field visits are required by your department
• Meets care coordination requirements as outlined by the Minnesota Department of Health or the Department of Human Services if working in a clinic that is seeking or has achieved Health Care Home or Behavioral Health Home certification

Responsibilities

• Provides care coordination, assistance with health system navigation, connection to community resources, elimination of barriers to care and the provision of education around self-management and health promotion activities
• Communicates and collaborates with patients, families, providers, and care team members to address patient needs and care plan
• Encourages and supports patients to make concrete steps toward promoting their health and managing their chronic illnesses
• Conducts needs assessments, health questionnaires, and screenings for patient population
• Offers appropriate suggestions and insights to providers, patients, and care team members for bridging barriers to goal achievement
• Reminds patients of appointments, assists with transportation and other barriers to making appointments, and attends appointments with patients when deemed necessary
• Adheres to department expectations around caseload, panel management, and referral management
• Works within his/her scope of work by referring patients to appropriate clinic, hospital, and community resources and supports them in accessing resources
• Utilizes electronic health records to inform providers and care team members of patient goal progress and documents all care coordination, transition care, and health education activities
• Facilitates completion and submission of forms and paperwork, as trained
• Actively coordinates services, facilitates transitions of care across the continuum, communicates with care team members, and participates in interdisciplinary huddles, rounds, and/or care team meetings
• Provides patient education for health promotion, disease management, and self-management within the scope of service of the CHW and only when trained and delegated to do so
• Motivates clients and/or family to be active, engaged participants in their health, education, and self-sufficiency goals
• Coordinates, facilitates, and implements health promotion and self-management programs when directed
• Performs field visits at home and community sites, only if required and approved by your department
• Completes other duties as assigned (including grant-related activities), but only when trained and qualified to do so

Skills

English proficiency

Communication skills

Disease prevention

Organizational skills

Customer service

Computer skills

Cultural sensitivity

Conflict resolution

Problem solving

Teamwork

Education

CHW certificate MN

Tools

Electronic health records

Job description

Hennepin Healthcare is seeking a Community Health Worker to support the Women’s Health Clinic in Minneapolis. This role involves coordinating care, helping patients navigate the health system, and connecting them with community resources and self-management education.

Responsibilities include assisting with appointments, documentation, and coordination of services across the continuum, with a focus on reducing barriers to care and promoting health outcomes for patients with chronic conditions.