The Community Health Worker (CHW) is a trusted member of the local community who helps the community improve their health through a range of outreach, education, prevention and patient navigation service activities. They seek to promote the community’s voice within the health care system, while playing an active role on patients’ care teams. The CHW will have a regular presence in the community they serve and will provide patient support in accessing and using appropriate medical and behavioral health care as well as specialty services, and help improve their understanding of chronic disease management and preventive health care. The CHW should be a “natural helper” in the local community, exhibiting good rapport with patients, as well as acting as a liaison among individuals, the health center and area social service providers. The CHW will have the skills and life experience necessary to understand what patients are going through in relation to health challenges, and will help them get through difficult times. CHWs act as caring neighbors to help patients address the social and medical problems that lead to poor health outcomes.
CHWs are expected to uphold the health center mission by assuring that patients receive health care that is competent, caring, and meets with a high degree of satisfaction. In addition, staff must support FPCN’s commitment to the creation of a trauma-informed system of care that continually recognizes and responds to the impact of traumatic stress on all those who have contact with the organization, including children, adults, families, caregivers, and staff.
Develop one-on-one, ongoing relationships with patients and engage in any or all of the following:
- Assist patients in making and keeping appointments including diagnostic screenings for breast, colon or cervical cancer, and specialty medical care.
- Accompany patients to medical appointments both within the health center and to outside providers, with access to the van, as needed.
- Continuously expand knowledge and understanding of community resources, services and programs and connect patients to resources and/or entitlements as indicated assisting them in completing applications.
- Motivate patients to be active and engaged participants in their health by developing health management plans and goals including exercise and diet.
- Coach patients in effective management of their chronic health conditions and self-care assisting them in understanding care plans and instructions.
- Participate in substance abuse screening, educate patients about available services including mental health counseling and Medication Assisted Treatment, and assist them in making connections and engaging in substance abuse treatment programs.
- Collaborates with behavioral health and physical health care team regarding patients’ problems and needs.
- Maintain updated client records with plans and notes in the electronic health record.
- Attend community meetings, health fairs and community advisory committee meetings to understand community issues or build relationships with community members.
- Conduct home visits for vulnerable patients such as those with chronic physical or mental illness, pregnant women, newborn infants, or other high-risk individuals to monitor their progress or assess their needs as indicated.
- Contact clients in person, by phone, or in writing to ensure they have completed required or recommended actions. Assess barriers and connect to resources as appropriate.
- Distribute flyers, brochures, or other informational or educational documents to inform members of a targeted community activity.
- Provide feedback to health service providers regarding improving service accessibility or acceptability.
- Report incidences of child or elder abuse, neglect, or threats of harm to authorities and supervisor, as required.
- Support patients in attending group or individual exercise programs and accessing the health center fitness room and instructor.
- Attend program staff meetings as scheduled.
- Other duties as assigned.
- HS diploma or GED required
- Have completed, or alternately, attend CHW orientation and training, completing necessary coursework in a satisfactory manner
- 2 years working with people in the health field preferred
- Experience in health or social services, community education, care coordination or case management preferred
- Ability to work with a culturally diverse population.
- Ability to respond to feedback and adjust approach according to recommendations from supervisor or other program team members.
- Ability to work effectively as a team, interfacing with patients and providers. Must be organized, proficient with documentation and computer literate.
- Ability to model positive health behaviors and overall physical/mental health, serving as a role model for residents/patients.
- Exhibit behaviors that align with RHD/FPCN’s organizational values, mission, and beliefs and avoid displaying behaviors that are in opposition to those values.
- Support FPCN’s commitment to the creation of a trauma-informed system of care that continually recognizes and responds to the impact of traumatic stress on all those who have contact with the organization, including children, adults, families, caregivers, and staff.
- Demonstrate cultural competence/proficiency in interactions with others by treating co-workers, colleagues and those receiving service with respect and fairness at all times.
- Ability to build and maintain positive and professional relationships based on respect, trust, and safety.
- Ability to create a space for staff and those we serve to feel physically and emotionally safe.
- Ability to support individuals on their paths to recovery and healing and resist re-traumatization of staff and patients.
- Demonstrate exemplary problem-solving, communication, interpersonal, and conflict resolution skills.
- Ability to work effectively as a team member.
- Highly responsible and reliable as well as courteous.
- Unconditional ability to maintain patient confidentiality.
- Exemplary organizational skills and ability to prioritize.