Community Health Worker Social Risk Mitigation

Summary
Responsible for providing advanced health education, outreach, and care coordination services to individuals and families in the community. Areas could include exercise, mental health, medication management, nutrition, health care system navigation, substance use and other health behaviors. They work closely with healthcare providers to ensure that patients receive appropriate care and support services to improve health outcomes.
Does this position require Patient Care? Yes
Essential Functions
-Conduct in-depth assessments of patient needs, goals, and barriers to achieving good health outcomes
-Provide advanced health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions
-Collaborate with healthcare providers to develop and implement care plans for patients with complex health needs
-Assist patients in navigating the healthcare system and accessing appropriate services, including health insurance and social services
-Provide ongoing follow-up and support to patients to ensure continuity of care and successful achievement of health goals
-Develop and implement health promotion programs and activities to address community health needs
-Collect data and maintain accurate records of patient interactions and outcomes
-Attend meetings and trainings related to community health promotion and education
Population Health Services Organization is formed by Mass General Brigham to deliver high-quality, low-cost, innovative care. This work stems from Mass General Brigham's unified system strategy to bring healthcare closer to patients while lowering total healthcare costs.
Our Community Health Workers (CHWs) are integral and trusted members of the community helping our high-risk patients who are getting care at MGB primary care practices receive the services they need to achieve an optimum quality of life. This high-risk patient population presents a unique set of challenges, including higher rates of mental illness and barriers to care, and are often harder to contact and engage, as well as having weaker ties to their primary care practice. The CHW acts as a bridge between our primary care teams and our high-risk patients, improving their access to and utilization of healthcare services.

Education
Bachelor's Degree Public Health required or Bachelor's Degree Social Work preferred or Bachelor's Degree Related Field of Study required

Can this role accept experience in lieu of a degree?
Yes

Licenses and Credentials
Community Health Worker [CHW - Massachusetts License] - Massachusetts Board of Allied Health Professionals preferred

Experience
experience in community health outreach, health education, or related field 2-3 years required

Knowledge, Skills and Abilities
- Demonstrated ability to work effectively and provide advocacy for all populations and communities.
- Strong communication and interpersonal skills, with the ability to interact effectively with various populations.
- Ability to work independently and as part of a team.
- Basic computer skills, including Microsoft Office and database management.
- Bilingual skills preferred.

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.