South County Health
Certified or within 12 months
The Community Health Worker is a member of the community health team; an interdisciplinary team comprised of Community Health Workers, Behavioral Health Clinicians and practice-based Nurse Care Managers. The Community Health Worker works closely with the core team members to support patients who are dealing with complex medical, behavioral health and/or substance issues as well as social determinants of health, and require a more intensive home and community-based intervention. The Community Health Worker plays a critical role in assessing patient needs, offering community resources and referrals, providing navigation, support, care coordination, and ongoing case management to meet those needs. The Community Health Worker visits patients in their homes and in the communities in which they live, providing culturally sensitive approaches to health information to improve health literacy. The Community Health Worker facilitates the patient’s decision-making and self-management to help patients engage in their overall health and achieve their health goals.
Additionally, this individual will be responsible for tracking patient related activities, monitoring and documenting progress. The Community Health Worker works collaboratively with the primary care team to promote patient-centered care and actively participates in multidisciplinary patient-centered team meetings. The Community Health Worker has frequent contact with many community agencies on behalf of the patients served, networking and collaborating on resource identification to improve the overall health of the population.
Reports to: Manager, Community Health Team
- Associates or Bachelor’s degree in Social Work or related health sciences field or 3 years work experience in healthcare related to community health or case management
- Certification in Community Health Work or working toward certification within 12 months.
- Experience working with primary care providers or in other healthcare settings.
- Experience working with patients regarding managing their health, navigating systems, providing care coordination and health coaching is preferred.
- Proficiency in the use of computers, including but not limited to Microsoft Office Suite and EHR software
- The ability to travel to various locations in the state and reliable transportation is required.
- Ability to work independently and collaboratively in a team environment to achieve program goals.
- Ability to relate to patients and build trusting relationships.
- Ability to communicate effectively with co-workers, patients, family/care givers, and partner agencies.
- Strong time management and organizational skills.
- Exercise sound judgment and decision-making.
- Ability to assess and differentiate priorities.
- Strong interpersonal skills.
- Strong written and verbal communication skills.
- Ability to maintain confidentiality with all aspects of information (including patient data) in accordance with South County Health philosophy and policy, and state and federal regulations. Must handle the most sensitive and confidential matters with the utmost discretion.
- Proficiency with computer skills (i.e., Microsoft Word, Excel and Access, and Web-based applications).
AMOUNT OF TRAVEL AND ANY OTHER SPECIAL CONDITIONS OR REQUIREMENTS: County-wide require travel throughout southern Rhode Island and north on an as-needed basis.