Community Health Worker

Title of Position: Community Health Worker Location: Chinatown Service Center Exempt/Non-Exempt: Non-Exempt Union/ Non-Union: Non-Union Supervisor: Program Director Gateways Hospital and Mental Health Center's Enhanced Care Management (ECM) program is a newly certified program serving Managed Care Plan members with chronic mental health and social support needs. Candidates will have the opportunity to be a part of an exciting startup phase which will include new program operations infrastructure development and implementation, recruiting, hiring and training program staff, interface with managed care plan managers, supporting in-community client outreach and engagement, and establishing collaborative partnerships with community stakeholders to enhance closed loop referrals and whole person client services. Summary Of Position The Community Health Worker (CHW) is responsible for helping clients and their families to navigate and access community services, other resources, and adopt healthy behaviors. CHW supports providers and the care managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of clients and their families. The CHW provides social support and informal counseling, advocates for individuals and community health needs. Essential Duties Educating clients about ECM services, assisting them with enrollment and serving as the primary liaison between the client and any services they may need Facilitate outreach and engagement activities internally/externally to generate referrals and enrollment into ECM; including but not limited to member information lists provided by Managed Care Plans, street outreach, participation in resource fairs, and/or co-location at partner sites. Act as liaison across internal programs to promote intra-agency referrals into ECM. Responsible for building trusting relationships with partners and referring parties to facilitate enrollment in ECM. Responsible for establishing trusting relationships with clients and their families while providing general support and encouragement Provide ongoing follow-up, basic motivational interviewing, and goal setting with clients/families Helping bridge conversations with clients, in partnership with Lead Care Manager, and removing barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to a panel of clients for appointment scheduling, needs assessment, and care gap closure Meeting clients in clinic, facility or at home to help identify social determinants of health impacting their health and general well-being Collaborate with the full care team to create an individualized, linguistically, and culturally appropriate care plan for every enrolled client Assists clients in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms Facilitate communication between all parties (clients, families, colleagues, and community-based organizations), as needed, ensuring that provided information, and reports clearly describe progress Follow-up with clients via phone calls, home visits and visits to other settings where clients can be found Help clients set personal health related goals and attend appointments Provide referrals for services to community agencies as appropriate Help clients connect with transportation resources and provide appointment reminders in special circumstances Knowledgeable about community resources appropriate to address the needs of the client Act as a client advocate and liaison between the client/family and community service agencies Record all client care management information in the Care Management System and other software no later than 24 hours after client contact Manage assigned caseload of clients Maintain HIPAA compliance at all times Performs other additional tasks as directed. Essential Skills Demonstrable knowledge and skill in case management and supervision, social services, and organization skills Good organizational skills to handle multiple priorities while remaining professional and calm Ability to work with many diverse people, including children and adolescents Effective telephone skills Strong level of confidentiality due to the sensitivity of materials and information handled Ability to make suggestions on workflow or system efficiency and effectiveness Ability to work independently and be self-directed and flexible Ability to perform functions with minimal supervision Ability to work at a high-volume level of accuracy Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the health care team Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families in the community. Be punctual for scheduled work and use time appropriately Perform required amount of work in a timely fashion Be neat and maintain a professional appearance Maintain confidentiality and protect the program by abiding by laws and principles related to confidentiality; keep information concerning program operations, patients, and employees confidential #J-18808-Ljbffr Gateways Hospital and Mental Health Center