Community Health Worker-Behavioral Health Rural Communities

JOB SUMMARY:

The CHW provides a range of client-centered services that link clients with health care, psychosocial support, and other services. CHWs link community members to the resources they need such as: health screening information, healthcare providers, assistance with publicly funded health insurance, financial assistance, mental health and substance abuse treatment along with transportation services. This position enhances the quality of the Care Coordination team ability to provide proactive patient management, increased patient and provider satisfaction, and continuity of patient care.

DUTIES AND RESPONSIBILITIES:

Provides outreach to individuals in a variety of settings including but not limited to health fairs, clinic outreach, and patient lists for targeted outreach.

Deliver culturally appropriate and accessible health education and information, often by using education tools within the EHRHelp clients in utilizing resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible.

Administer evidence based screening tools in an effort to identify those individuals who need mental health and/or substance abuse services.

Navigate through healthcare system (e.g. by providing assistance with enrollment, appointments, referrals, and transportation to and from appointments; promoting continuity of behavioral health services; arranging for bilingual providers or translators, and assist with culturally appropriate educations, as needed

Assists care team with coordination of care by tracking and supporting patients when they obtain services outside the practice

Works with the provider care teams by utilizing internal and external data sources, identifies and contacts patients identified through various practice protocols and initiatives.

Responsible for providing support to patients, their families, support staff and physicians in addressing mental health and substance abuse concerns.

Provide patients with the basic mental health psychoeducation, symptoms, treatment options and coping mechanisms in order to reduce stigmas

Building relationships within the community to promote mental health wellness among community members and leaders.

Educates patients and families to assist them with making informed personal health care decisions.

Assists the care team and patient in the implementation and ongoing evaluation of patient self-management goals utilizing motivational interviewing skills.

Understands and follows policies and procedures and produces and submits reports in a timely manner.

Maintains excellent communication within the behavioral health staff. Documents actions in the patient’s medical record as appropriate.

Collaborate with clinical staff and social workers as needed in the development and execution of the plan of care, and achievement of goals.

Serves as a patient advocate. Acts as a liaison between the patient care team, behavioral healthcare facility, and community agencies among all Franklin Primary Health Center clinics.

Assist clients by providing education to build trust so that clients attend scheduled appointments and do not become socially isolated from the resources available to them within the community.

Other related duties as assigned.

CUSTOMER SATISFACTION:
Must provide the very best customer satisfaction to patients, visitors, and co-workers at all time in a professional and courteous manner.

Provides assistance in resolving customers’ problems

Coordinates efforts and interfaces with other departments to resolve problems

Actively protects customer confidentiality

Actively keeps environment clean and safe with a professional and welcoming image

Always treats customers as welcome guests and provides a warm…