Community Health Worker (PCMH)

Position Summary:

Reporting into Patient-Centered Medical Home, the Community Health Worker (CHW)

is responsible for maximizing health access for community members and utilizing

information on social, civic, and public health issues to support and improve the quality

of life for neighborhood residents.

Primary Responsibilities:

Patient Enrollment

Pro-actively identify patients who are eligible for assistance from a CHW

Actively seeks referrals from Provider staff

Collaborate with Enrollment team to identify new patients who need follow-up to

engage in care

Patient Engagement

Work directly with patients to identify barriers in completing patient care;

actively work with the patient to remove barriers

Connect with CSCH and other local social services organizations to identify

resources for patients

Regular check-in with patients to identify ongoing needs

Track patient care; work with patients to ensure they make and keep

appointments; follow-up on referrals

Collaborate with Providers on non-medical patient needs

Educational materials

Provide materials and curriculums around educating and equipping consumers to

become more self-sufficient.

Provide materials to further patients’ understanding of how to access care at

CSHC

Provide resources on how and when to use the Emergency Room

Provide resources on the Health Insurance Exchange

Reporting

Track patient interaction in EMR; flag Providers as needed

In collaboration with the PCMH Project Manager, develop process and outcome

measures for program assessment

Complete data entry for program evaluation

Work with PCMH Project Manager to collect and submit data semi-annually

Participates in annual program planning, grant development as needed.

Other duties as assigned

Qualifications:

A minimum of 2 years outreach experience in the generalist model.

Ability to communicate effectively.

Strong commitment to the CHW model

Capable of successfully working with many types of people.

Well-organized, able to develop and track data

Able to set priorities and meet deadlines.

Resident of local area representative of predominant community strongly

preferred.

High School Diploma and/or GED

CSHC is an Equal Opportunity Employer, M/F/D/V encouraged to apply

View Current Job Opportunities http://www.codman.org/careers/job_openings.html