Job Description

Job Description

Job Description

Under the direction of ECM Program Manager, 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 desired

BENEFITS

• Free Medical, Dental & Vision
• 13 Paid Holidays + PTO
• 403 (B) retirement match
• Life Insurance, EAP
• Tuition Reimbursement
• SEIU Union (if applicable)
• Flexible Spending Account
• Continued workforce development & training
• Succession plans & growth within

QUALIFICATIONS/LCENSURE:

• High School Diploma or GED
• Bilingual English & Spanish (Preferred)
• Familiar with working with managed care plans and / or Medi-Cal
• Experience 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.

RESPONSIBLITIES

• 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 advocacy
• Maintain 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; and
• Other duties may be assigned or may be modified as business needs dictate.

St. John’s Community Health is an Equal Employment Opportunity Employer

Job Tags

Similar Jobs