12847 Wake Forest Baptist Medical Center - Administration: Regional Facilities; Downtown Hlth Plz

Full time

Yes

40

Mondays through Fridays 8a-5p

Pay Range

$19.45 - $29.20

The Community Health Worker (CHW) is responsible for creating connections between the hospital, the health care system and community resources and partners.  The CHW will provide patient outreach and resource navigation for individuals served, culturally appropriate health education and information, and give informal counseling and guidance on health behaviors.  Additionally, the position serves as a patient advocate and liaison between the patient/family, Advocate physician(s) and community organizations by identifying community resources to improve or enhance the patient’s quality of life.

Community Health Worker (CHW) will connect recently released people with chronic disease, mental illness and/or substance use disorder to appropriate health care services and help put together a comprehensive reentry plan working with local reentry partners.

CHW must have prior justice system involvement. In order to meet this requirement, we will work with the leadership of Restorative Pathways to recruit.

Major Responsibilities:

• Patient Outreach & Resource Navigation

• Provide intensive outreach efforts by conducting home visits or visits to other appropriate settings to an identified patient population.

• Establish relationships with patients/families and provide general support and encouragement.

• Conduct intake interviews with patients using established protocols and intake tools)Work with patients and their physicians to develop personal health action plans that are achievable.

• Assist patients in addressing challenges to care for transportation, language, family/social support.

• Assist patients with comprehension of health insurance eligibility, benefits and navigation.

• Schedule appointments and perform reminders for patients. Ensure appropriate resources are available for attending appointments.

• Follow-up with patients by letter, phone call, text or home visit on missed appointments or referrals.

• Educate patients on self-care, healthful living, setting and achieving goals, using/reinforcing SUHI’s clinical education protocols, APP’s evidence-based tools or other, evidence-based tools.

• Refer patients to community-based resources to adhere to physician recommendations.

• Alert APP clinical team on patient needs, concerns, and interests. Ensure continuity of care.

• Keep accurate records of patient contacts and document patient needs, action plans, and follow up needs in appropriate database or electronic medical record.

Health Education

• Provide health education activities for identified health concerns such as Asthma, Diabetes, Hypertension and other chronic diseases.

• Provide informal counseling, education, and social support to assist patients with gaining access to continuous care and enabling services.

• Coach/encourage patient self-management and adherence to clinical recommendations for identified health concerns such as Asthma, Diabetes, Hypertension and other chronic diseases.

Community Outreach & Advocacy

• Develop and maintain strong working relationships with external (e.g., referral sources and community agencies) and internal contacts (care team) through direct contact including participating in community meetings and care team huddles.

• Share information and resources, collaborate on initiatives and provide education to referral sources and community agencies in order to coordinate access to services.

• Collect and organize information to be used for current services and future community health education and outreach activities.

Program & Care Team Operations

• Participate in care team huddles to understand and proactively respond to the needs of the patient population.

• In collaboration with the clinical team, identify, consolidate and manage a high-risk patient registry.

• Assist care team as needed and performs other duties as assigned.

Education/Experience Required:

• High School Diploma/G.E.D. 2 years’ experience, preferably in related area.

Knowledge, Skills & Abilities Required:

• Good communication skills. Ability to work as a team member.

• Competent computer keyboard, laptop maneuvering, competent in Windows platform Basic computer skills and database entry.

• Good organizational skills.

• Ability to handle difficult calls and maintain professional conduct.

• Willingness to be flexible with job responsibilities

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program