Community Health Worker - CommWell : Job Details

GENERAL REQUIREMENTS •Work in collaboration with the Care Coordination/Care Management and Population Health teams to identify hard to reach patients with social and health care needs and meet the patients where they are, physically, mentally, and emotionally •Build trusting relationships with patients •Build and maintain positive working relationships with providers, nurse case managers, agency representatives, supervisors and office staff across health and social service organizations •Assess/address social determinants of health and eliminate barriers to care including through the coordination and/or delivery of transportation services and deliveries, home visits, and community contacts. •Must be willing to work flexible schedules including some evenings and weekends as necessary •Help patients utilize resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible •Coach and support patients as they work toward health goals •Create connections between vulnerable populations, health care, and community resources •Assist clients in accessing health related services, including but not limited to obtaining a medical home; providing instruction on appropriate use of the medical home; and overcoming barriers. •Assist with care coordination and care transitions for patients in the community •Assist patients with enrollment in programs and benefits for which they are eligible •Advocate for vulnerable populations within the health care system and the community at large •Effectively work with people (staff, clients, doctors, agencies, etc.) from diverse backgrounds in reducing cultural and socio-economic barriers between clients and institutions •Continuously expand knowledge and understanding of community resources, services and programs provided; human relations and the procedures used in dealing with the public as part of a service or program; procedures and resources available to handle new, unusual, or different situations •Perform duties in a prioritized, organized, and orderly manner to maximize efficiency and productivity. •Participate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services. •Support current incentive, regulatory, and certification requirements (such as Meaningful Use, PCMH and UDS) through documentation, participation in initiatives, and other activities as directed. •Other duties as assigned Required Skills CERTIFICATIONS AND LICENSURES •BLS Certificate from American Red Cross or American Heart Association •Clean driving record with current NC driver's license and approved by corporate vehicle insurance vendor for driving privileges •Community Health Worker Certification preferred