Maniilaq Association
12/22
Title: Community Health Worker Range: 14
Program: Public Health Nursing Status: Non-Exempt
Housing Priority: None Covered: Yes
POSITION SUMMARY:
Works closely with medical providers, primary care teams, and social services agencies to provide short term care coordination and connection to resources and support to program clients to improve their health and general well-being through education and provision of coordination of care and services. Works in both clinical and community-based settings, including clients' homes. Travel to villages as assigned to provide impact services. Community Health Worker (CHW) must work under close supervision and travel with a PHN II/III for the duration of work plan. Reports Directly to PHN Program Manager.
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Assists clients in their homes, community, or clinic setting. Communicates to clients/patients the purposes of the program and the impact it may have on their wellbeing. Helps patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
2. Documents all client encounters and contracts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic client files, which include client notes, release of information, assessments and other medical documents acquired on behalf of the client. Documents activities, service plans, and outcomes achieved by client in an effective manner.
3. Educates client on the proper use of the Emergency Room, and provides information for alternatives. Coaches patients in effective management of their chronic health conditions and self-care. Assists patient in understanding care plans and instructions. Motivates patients/clients to be active and engaged participants in their health and overall wellbeing.
4. Assists clients in accessing health related services, including but not limited to: obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and /or social services.
5. Provides support and advocacy during initial medical visit or when necessary to assure clients' medical needs and referrals required are being conveyed. Follows up with both clients and providers regarding health/social services plans.
6. May act as a peer support worker, where applicable, if self-disclosed as current or former consumer of mental health or substance abuse services with at least two years of mental health or substance abuse recovery.
7. Facilitates communication and coordinate services between providers and the clients/patients. Coordinates and monitors services, including comprehensive tracking of clients' compliance in relation to care plan objectives.
8. Act as a patient advocate and liaison between the patient/family and community service agencies, and provide feedback
9. Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
10. Travels extensively to client homes, community locations, various agencies, and other outreach destinations.
11. Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
12. Maintain a high level of integrity and discretion in handling confidential information.
13. Performs other job-related duties as assigned.
MINIMUM REQUIREMENTS
High school diploma or GED; at least 1 year of experience directly related to the duties and responsibilities specified. Any combination of 3 years health/social services experience and/or education preferred. Strong interpersonal, communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Knowledge of community agencies and resources. Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services. Ability to plan, implement, and evaluate individual client care plans. Knowledge of transportation and other barriers to care that may be encountered by client. Ability to communicate medical information to health care professionals and care coordinators over the telephone. Skill in use of personal computers and related software applications, including e-mail. Skill in organizing resources and establishing priorities. Creative and analytical thinking.
DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be considered an exhaustive list of all responsibilities, duties and skills required of personnel in this job, and the employer reserves the right to revise or change this description. This description does not constitute a written or implied contract of employment. To perform this job successfully, an individual must be able to satisfactorily perform each of the above essential duties and meet physical demands. Reasonable accommodations may be made to enable individuals with disabilities to meet those conditions.
