Community Health Worker Senior

DescriptionJOB DETAILSDepartment: Women's Health ClinicFTE: 1.0 (80 hours per pay period)Workdays: Monday - FridayShift(s): DaysShift Length: 8 hoursLocation: In-PersonPurpose of this position: The Community Health Worker will be responsible for assisting patients and care team members across the continuum with a variety of care coordination activities, helping patients to navigate the healthcare system, understand and connect to HHS and community resources, eliminate barriers to care, and increase knowledge around self-management and health promotion activities.RESPONSIBILITIESProvides 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 activitiesCommunicates and collaborates with patients, families, providers, and care team members to address patient needs and care planEncourages and supports patients to make concrete steps toward promoting their health and managing their chronic illnessesConducts needs assessments, health questionnaires, and screenings for patient populationOffers appropriate suggestions and insights to providers, patients, and care team members for bridging barriers to goal achievementReminds patients of appointments, assists with transportation and other barriers to making appointments, and attends appointments with patients when deemed necessaryAdheres to department expectations around caseload, panel management, and referral managementWorks within his/her scope of work by referring patients to appropriate clinic, hospital, and community resources and supports them in accessing resourcesUtilizes electronic health records to inform providers and care team members of patient goal progress and documents all care coordination, transition care, and health education activitiesFacilitates completion and submission of forms and paperwork, as trainedActively coordinates services, facilitates transitions of care across the continuum, communicates with care team members, and participates in interdisciplinary huddles, rounds, and/or care team meetingsProvides 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 soMotivates clients and/or family to be active, engaged participants in their health, education, and self-sufficiency goalsCoordinates, facilitates, and implements health promotion and self-management programs when directedPerforms field visits at home and community sites, only if required and approved by your departmentCompletes other duties as assigned (including grant-related activities), but only when trained and qualified to do soQualificationsQUALIFICATIONSMinimum 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 employmentUnique Minnesota Provider Identifier (UMPI) will be acquired through the onboarding process, if not already acquiredDriver’s license and proof of insurance, if field visits are required by your departmentMeets 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 certificationPreferred Qualifications:One year of experience working in any of the following: ambulatory care, care coordination, case management, or community outreachWorking knowledge of various integrated systems of care in the communityExperience in women's health Knowledge/ Skills/ Abilities:Knowledge:Knowledge of care coordination and how to help patients navigate the healthcare systemUnderstands the CHW scope of practice in MN and role within the health systemSkills:Ability to speak and write the English language in an understandable mannerStrong communication skills, both verbal and writtenStrong skills in providing disease prevention/health promotion programs to patients with chronic conditionsExcellent organizational, communication, customer service, and computer skillsAbility to provide guidance to people with a wide range of cultural backgrounds, training, and experienceConflict resolution and interpersonal communication skillsStrong problem solving, trouble shooting and decision making skillsAbilities: Ability to work independently and as part of a teamFlexible and willing to adapt to a changing healthcare environmentAbility to set and maintain boundaries to work within role and scope of practiceAbility to work in an environment with multiple distractions and interactionsAbility to meet deadlines and achieve required outcomesJob Level: StaffEmployee Status: Regular