Community Health Worker - Outreach and Engagement

Overview

Community Health Worker - Outreach and Engagement role at Bartz-Altadonna Community Health Center.

• Provide case management to patients experiencing homelessness, enrollment, and eligibility; facilitate outreach activities to help connect individuals with necessary resources.
• Assist clients in accessing primary care and other services and utilizing all resources available while patients are at the health center.
• Track and document all outreach activities, gather required data, and complete all required program reports in an accurate and timely fashion.
• Update patient information and eligibility evaluation, follow up on patients that have missed their scheduled appointments, and follow up with clients for treatment adherence.
• Communicate and maintain an open professional relationship with the PCP, patient navigator, care coordinator, chronic disease team, and any staff involved in the patient s care.
• Participate in weekly staff meetings coordinated by the Chief of Staff/Outreach Manager to discuss and plan grant driven goals and outcomes.
• Maintain accurate, complete, and up-to-date client records and outreach logs.
• Attend in-service training programs developed by the CMO, clinic managers, and compliance manager for the BACHC medical staff.
• Responsible for registering and re-certifying all eligible patients for all programs the center works with.
• Perform outreach on scheduled days and times to appointed locations where clients experiencing homelessness congregate and frequently visit.
• Assist with planning and coordination of upcoming outreach events and discuss and develop a strategy plan for outcomes.
• Provide a weekly summary of activities and goals achieved and/or challenges or reasons why goals could not be achieved.
• Assist disabled patients when transporting them to the clinic, when needed.
• Attend appropriate community resource meetings and training assigned.
• Work in collaboration with other departments where necessary.
• Log and track company vehicle data and submit required documents.
• Maintain productivity numbers of new enrollments for programs and services for clients.
• Attend required program and funding meetings, community events, and others as requested by the Chief of Staff/Outreach Manager.
• Serve as back-up for other benefit enrollments and intakes.
• Ability to work independently without supervision.
• Promotes and believes in BACHC mission statement "Helping People Heal".
• Believes and aligns with BACHC core Values of Compassion, Respect, Integrity, Accountability and Teamwork.
• Treats everyone equally regardless of racial, ethnic, religious, social, and economic status or background.
• Performs all job functions in a professional and courteous manner, including answering general phone calls timely and providing excellent customer service to internal and external clients/patients.
• Performs job duties collaboratively with health center management and exercises good judgement.
• Fosters and promotes a culture of service excellence and accountability.
• Consistently adheres to a high standard of professional ethics and acts as a role model.
• Complies with organizational policies and procedures.
• Perform other duties as assigned.

• Establish trusting and open relationships with patients and their families while providing support and encouragement. Provide ongoing follow-up, basic motivational conversation techniques and goal setting with members/families.
• Motivate and engage the patient to help set and achieve health goals and identify barriers to achieving goals. Enhance patients  health literacy and ability to self-manage through education and support in chronic diseases, wellness, self-care, and patient goals.
• Provide referrals for services through community agencies and help patient connect/navigate across care settings.
• Work cooperatively with provider and care coordinators and participate in care team meetings. Be a patient advocate in obtaining care and services.
• Communicate with care coordinator to evaluate patient/family status, ensuring that provided information and reports clearly describe progress. Conduct follow-up via phone calls, home visits, and visits to other settings where member is located or to meet with the patient s provider(s).
• Attend regular staff meetings, on-site monthly training courses and other meetings as requested.
• Manage assigned caseload.
• Perform other duties as assigned.

This is a physical position that will require standing, walking, sitting, bending or standing as necessary, and ability to lift 25 lbs.

This is a full-time position. Clinic hours are Monday through Saturday 7:30am-6:30pm. Work hours will be 40 hours weekly within the clinic hours with occasional pre-approved overtime. Hours may vary if needed.

Several hours of driving locally is required throughout the week.

• Customer Service
• Excellent organizational and time management skills
• Exceptional communication and interpersonal skills
• Ability…