Summary: The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs, and provides services such as basic first aid, blood pressure screenings, and simple wound care. Essential Duties and Responsibilities + These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. + Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement. + Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families. + Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found. + Help patients set personal health related goals and attend appointments. + Provide referrals for services to community agencies as appropriate. + Help patients connect with transportation resources and provide appointment reminders in special circumstances. Transporting patients based on HHC van policy. + Exhibit excellent working relations with patients, visitors and staff, + Effectively communicating HHC’s mission. + Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans. + Work collaboratively with other clinical personnel assigned to the same patient. + Knowledgeable about community resources appropriate to needs of patients/families. + Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress. + Act as a patient advocate and liaison between the patient/family and community service agencies. + Record patient care management information in the EMR and other software no later than 24 hours after patient contact. + Attend regular staff meetings, trainings and other meetings, as requested. + Manage assigned caseload of patients. + Maintain HIPPA compliance at all times. + Perform other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience Minimum Required Education: High school graduate or equivalent required. Preferred Education: Associate degree in business administration or related field. Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred. Medical terminology and/or background preferred. Experience: Minimum of 1 year of experience working in a community-based setting. Experience working in a multi-cultural setting. Ability and willingness to provide emotional support, encouragement and motivation to patients. Basic computer skills required; electronic medical record (EMR) experience preferred. Certificates, Licenses, Registrations: • MT, Paramedic, or Certified Nursing Assistant preferred.