Community Health Worker

Community Health Worker Children s Center of The Antelope Valley
• Lancaster, CA, US

Community Health Workers serve as the primary agents of change for the JCOD Care Management (JCM), formerly known as (RICMS) and are supported by and report directly to a Program Manager and/or a Licensed Clinical Social Worker. They provide connections to direct services; care coordination and system navigation; coaching and social support; education about the health and social service system; advocacy;

outreach; assessment; and capacity building. Additionally, they serve as liaisons and cultural mediators, continuously educate members of the health and social service system about community strengths, and may participate in research and evaluation about the JCM Program.

• Receive referrals directly from County jails (Pre‑Release), the probation department, JCOD Support Center (Pre‑Trial), JCOD D.O.O.R.S and the community and enroll individuals into the Care Management program
• Follow up with participants to support them in addressing their service needs to improve their health and well‑being and prevent recidivism
• Facilitate connections to a wide range of supportive services, including social services, physical and mental healthcare, housing assistance, employment and educational programs, cognitive behavioral interventions, substance use disorder treatment, and parenting and childcare resources
• Connect and engage participants in activities and services
• Build and maintain trusting and open relationships with community organizations, leaders, and resources

• Collaborate with the referring agencies to assess individual service needs and provide input to inform reentry case plans
• Conduct additional assessment of participant strengths and needs, including administering appropriate screening and/or assessment tools
• Guide participants, participants' significant others, and other team members in the development of a services and support plan, which addresses the participant's goals and any medical, behavioral health and/or substance use treatment needs
• Assist participants in setting goals related to housing, benefits establishment, employment and self‑sufficiency, childcare support, behavioral health treatment, and other topics that support the program participant in gaining more control over their lives and their health
• Assist with evaluating progress toward goals and make adjustments in the case management plan to facilitate progress toward goals
• Assess participant eligibility/suitability for special programs
• Complete all necessary and required documentation, which includes use of a Case Management Platform, known as CMS
• Compile and report summary program data during weekly check‑in calls, assessments, and quarterly meetings
• Maintain participant confidentiality and privacy by protecting participant health information

• Establish a trusting and open relationship with participants
• Accompany participants to appointments as needed and appropriate
• Help participants to build social support systems, including connecting participants to support and recovery groups
• Provide coaching for housing, employment, and other interviews and address participants' anxieties related to these activities

• Provide intensive case management for a determined period of time
• Provide warm hand‑offs and supported referrals to necessary supports and services, including housing, education, employment, substance use treatment, etc.
• Engage with participants in the most appropriate and accessible location, which may include: the street, participants' homes, the hospital, or other community sites
• Connect participants to needed resources within the Departments of Health Services, Mental Health and Public Health, and other health and social service providers
• Link participants to other Community Health Workers working at the family, group, community, and policy levels
• Arrange or provide transportation to services as needed
• Assist with obtaining, completing, and submitting applications, and appeals processes
• Support…