Community Health Worker

ECM Community Health Worker (CHW)Under the direction of ECM Program Manager and the Community Health Worker (CHW), outreach and enroll clients in Enhanced Care Management. Additionally, CHW services can help clients receive appropriate services to individuals who are preparing to be released from jail. Providing basic housing assistance, patient tailored intensive case-management, developing a care/service plan; provide linkages to medical, psychiatric, social, educational, and other services as needed. They will also work with the Community Supports Program staff to provide team-based, patient-centered care management for homeless and at-risk of homelessness patients. As a Community Health Worker, shared lived experience with potential clients is strongly desiredBenefits:Free Medical, Dental & Vision13 Paid Holidays + PTO403(B) Retirement MatchLife Insurance, EAPTuition ReimbursementSEIU Union (if applicable)Flexible Spending AccountContinued workforce development & trainingSuccession plans & growth withinQualifications:High School Diploma or GEDBilingual English & Spanish (Preferred)Familiar with working with managed care plans and / or Medi-CalExperience working with an Electronic Health Record system; eCW preferred.Must be able to work independently and alongside a team in assisting clients meeting their goals.Available to work Monday-Friday, and some Saturday's when needed. As well evenings to program and clinical needs.Responsibilities:Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.Promote and aid patient in establishing self-management skills, linking them to resources in the community including public benefits and social services.Crisis management and patient advocacyMaintain patient file/record of appointments, services, follow ups and assessments based on DHCS requirements of ECM Program and SJCH requirements.Liaison between client and community resources, medical / specialty offices and / or when support is needed.Work with Medical providers, specialists, therapists, social workers etc. internally and externally, to determine health priorities.Empower, support, and educate clients in their re-integration process through mentorship.Operate in a supportive role within an interdisciplinary health care team utilizing an integrated care and treatment model.Maintain outreach activity calendars and logs according to program standards.Collaborate with primary care providers and behavioral health providers to provide health and behavioral interventions that will maximize patient health outcomes.Provides support, empowerment, education and targeted case management services to clients.Conducts assessments of client's history with medical/dental/behavioral health services, social and economic resources for purposes of linkage.Educates clients with chronic illness about evidence-based standards of care and self-management of their chronic illness.Links clients to needed services and facilitates access to community resources.Advises clients and others regarding health care and other facilities available to them; assists patients in utilizing services; makes follow-up contacts when required.Attending regularly scheduled and impromptu meetings and maintain communication with program team members and supervisor.Attend appropriate community resource meetings and training, as assigned.Work in collaboration with other departments and agencies when required; andOther duties may be assigned or may be modified as business needs dictate.St. John's Community Health is an Equal Opportunity Employer.