Community Health Worker
Geisinger Health System
- Orients and assesses new Community Health Workers.
- Provides regular assessment of the level of proficiency demonstrated by staff during the orientation period in order to support decisions to move staff along in training or refocus until proficiency is met.
- Assists in the identification and outreach of medically complex patients.
- Collaborates with the multidisciplinary team in the development and implementation of the care plan.
- Engages patients by way of phone call, home visit, hospital visit, and accompanying patients to Providers appointments as needed.
- Completes vital signs.
- Identifies gaps in care and connects members with resources.
- Facilitates telemedicine visits with members and providers.
- Performs disease specific education.
- Conducts Medication Review to ensure medication adherence.
- Conducts safety evaluations in patients home.
- Facilitates adherence to treatment plan by early identification and resolution of gaps in care.
- Communicates all concerns to clinical team and manager as necessary, seeking support and guidance proactively.
- Participates in multidisciplinary team conference in order to maximize the treatment plan.
- Provides reinforcement of the treatment plan under the direction of the Case Manager and Licensed Social Worker and is available for consultation and case review as needed.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1 ... 3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.
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