Community Health Worker

Job DescriptionJob DescriptionWood River Health is is now seeking a Community Health Worker! If you are looking for a great work environment with work/life balance and fantastic benefits, this is the place!Not only do we offer a great work environment, our benefits are fantastic! Packages include a generous paid time off program, health insurance, flexible spending account, life insurance, retirement 403(b), work/life balance, tuition assistance, and much more!Position Summary:The Community Health Worker (CHW) is a member of an interdisciplinary team comprised of Community Health Workers, Behavioral Health Clinicians, Nurse Care Managers and Medical providers. The CHW 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. CHW 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 patients decision-making and self-management to help patients engage in their overall health and achieve their health goals. This individual will be responsible for tracking patient-related activities, monitoring and documenting progress. This position works collaboratively with the primary care team to promote patient-centered care and actively participates in multidisciplinary patient-centered team huddles. The CHW 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. Essential Duties include:Helping individuals, families, groups, and communities develop their capacity and access to resources, including health insurance, food, housing, quality care and health informationSupport individuals with housing needs, providing assistance with applications, case management of those in housing stabilization programs, and coordinate transitions into sustainable housingFacilitating communication and client empowerment in interactions with health care/social service systemsInitiates outreach and successfully engages with patients, scheduling appointments and providing follow-up contact within designated timeframesCompletes initial intake, including a comprehensive assessment of social needs, functional assessment of the patient in the home setting, and condition of the home if needed within designated timeframesBuilds trusting relationship and serves as an advocate and mentor with the goal of empowering the patient to become more independent and self-sufficientCollaborates with nurse care managers, physicians, other care team members (Medical Assistants, Nurses, dental, behavioral health, etc.), hospitals, partner agencies, to improve patient care Work collaboratively in line with Health Equity Zone goals to positively impact populations in Washington County who are identified as at-riskFollowing WRH policies, obtain releases, gathers PHI from outside providers involved in patient care as needed and processes documents according to program requirementsWithin scope of CHW training, accompanies patients to doctors appointments, assists with food planning/shopping, completing forms for benefit applications, and assists with other tasks as needed that support their medical, behavioral health and social needsEducates patients on appropriate Urgent Visit and ED useUtilizes a multi-disciplinary team approach to address opportunities to plan and coordinate care Utilizes Motivational Interviewing skills and other patient engagement techniques with patients and caregiversAssists in the development of a patient care plan to include actions designed to improve the patients health status and remove the barriers that are preventing them from gaining access to high quality and timely primary/specialist careLeverages EMR/chronic disease registry reporting to prioritize patient follow-upIdentifies and utilize culturally sensitive approaches and community resourcesDocuments activities and communications in the patient chartProvides training to other team or practice staff as neededActs as liaison to health plans, hospital, long-term care, BH specialists and home health representativesWorks with HEZ partner organizations to improve transition of care and prevent avoidable ED visits for behavioral health Attends required training and collaborative sessions as scheduledDelivering health information using culturally appropriate terms and conceptsLinking people to health care/social service resourcesProviding informal counseling, support, and follow-upAdvocating for local health needs through meetings with patients over the phone or in person through community and home visits Providing health services, such as monitoring blood pressure and providing first aid within the scope of trainingOutreach patients in a timely manner, conduct home or community visits, and administer assessments to identify patient needsMaintain timely, accurate records, documentation, and reports as requiredOff-site travel will be requiredMaintain strict confidentiality in all mattersOperate within the scope of the Health Information Portability and Accountability Act to safeguard the privacy of protected patient health information Enliven and support the mission, vision, and values of Wood River HealthAdhere to organizational policies and procedures and Wood River Health Compliance Program StandardsPerforming other duties as assigned to meet business needsThe ideal candidate will have:High School Diploma or equivalent.Associates or Bachelors degree in Social Work, Community/Public Health or related health sciences field a plusA combination of training and skills to effectively carry out responsibilities and assignments (such as previous experience working with patients in a community-based setting).Training and/or experience related to Affordable Housing, including understanding of eligibility The ability to travel to various locations is required. Must possess a valid, current State issued drivers license, have reliable transportation and proof of current auto insurance at State minimum levels required. Wood River Health is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, religion, age, disability status, national origin, sexual orientation, gender identity or expression, protected veterans status, or any other characteristic protected by law. We are actively seeking a diverse array of candidates.Full time, 40 hours. Hybrid eligible after 90 days of employment

Created: 2025-03-31