Community Health Worker, ECM

Job Description

Job Description

Who We Are:SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | Participation in NHSC & NCLRP loan forgiveness programs What We Are Looking ForThe Community Health Worker, ECM supports patients and their families with educational resources about their diseases and helps to navigate the many paths of a healthcare diagnostic and treatment process. Provides age and culturally appropriate information and resources during the diagnostic evaluation. Identifies support groups appropriate for patients and families and coordinates scheduling. Removes obstacles to treatment by scheduling appointments, coordinating referrals, arranging transportation, childcare, translation, and other needed services. Tracks and documents metrics and outcomes. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30am - 4:00 pm | Location: SBC Clinic, San Bernardino, CAESSENTIAL FUNCTIONS AND DELIVERABLESAssist patients navigate the healthcare system and connect them to community resources. Conduct intake interviews with patients, including enrolling in the Sliding Fee program, and other programs the team deems necessary.Assists the team to build organizational relationships with community based organizations and programs. Will be required to engage in community outreach, conduct patient home visits, and collaborate with various community-based entities. Develops relationships among primary care teams and assists in the coordination of communication with patients and providers. Participates in the systematic population/caseload review, and works with other members of the care team to facilitate patient health and comfort and support the patient and they learn to self-navigate.Follow-up with patients via phone calls, home visits and visits to other settings where patients can be found.Assist patients with completing applications and registration forms. Conduct eligibility determination, enrollment and follow-up with uninsured patients.Help patients set personal goals, and attend appointments. Provide referrals for services to community agencies as appropriate.Help patients connect with transportation resources and give appointment reminders in special circumstances. Transporting patients is strictly prohibited.Be knowledgeable about community resources appropriate to needs of patients/families.Be responsible for providing consistent communication to the primary care team to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress. Assist in charting patient health updates in the EHR. Assist in collecting data and reporting on the status of patients.Ability to develop spreadsheets and reports and report findings. Must demonstrate a willingness for growth and learning in the area of EMR, MI, and multidisciplinary collaboration.Required to make patient home visits or various community based entities as necessary; must have a reliable vehicle, valid driver's license, and auto insurance.Other duties as outlined in the official job description.QUALIFICATIONS:Education: High School Diploma or equivalent required. AA in Social Work, or equivalent work experience in a medical/mental health setting preferred.Licensure/Certification: Current CPR/BLS certification (must be American Heart Association or Red Cross accredited program). As a requirement of this position, you must receive EPIC certification for the module you have been hired into. ValidCalifornia driver's license, and auto insurance..Experience: 3+ years of experience in a community-based setting or related experience is required.Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases.Interpersonal Skills: Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; perform basic math functions; manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills.Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas.EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.Full Benefits Package!Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more!Learn More About the Work We Do:SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish.SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect