Community Healthcare Worker Bilingual Spanish

Description

Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work, and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow.

The Community Healthcare Worker will work closely with the clinical care team and mental health professionals to connect RCH patients to a wide variety of community resources. The CHW will work with the respective care teams on goal setting, monitoring of goals with the intent of bettering patient experience, care, and outcomes.

• Collaborates with clinic providers to identify patients in need of community services.
• Assists patients to understand health management plans and goals.
• Coaches patients in effective management of their chronic health conditions and self-care.
• Provides training on disease management and healthy living skills.
• Assist patients with connecting to resources for housing, financial assistance, food and other critical needs.
• Assists patients in utilizing resources, including scheduling appointments, assisting with applications for programs and follow-up referrals and appointments.
• Advocates on behalf of the patients to secure community resources.
• Provides family support and education as needed.
• Works collaboratively and effectively within a team.
• Motivates patients to be active and engaged participants in their health.
• Facilitates communication and coordinates services between providers.
• Delivers or arranges clinically necessary transportation.
• Effectively collaborates with the treatment team members and outside sources in the delivery of care management services.
• Collaborates and consults with the team, including clinicians and pharmacists, and outside sources in the delivery of services.
• Competently screens for suicide risk and other safety assessments for patients.
• Completes pre-intake forms and assessments for psychiatry and takes actions needed to connect patients to appropriate levels of care.
• Continuously expand knowledge and understanding of community resources, services and programs provided.
• Register and enroll patients into the HCH programs and collaborate in a team effort with the RN’s.
• Work with Practice Manager for outreach projects, such as SAGE, C & TC, and other projects as assigned.
• Identify and report barriers for our patients. Work toward solutions with other clinic resources to remove these barriers (e.g., transportation needs).

• Seeks clinical supervision and consultation as needed.
• Regularly communicates concerns regarding patients with supervisor and/or team.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.

• Documents in a timely manner per RCH standards.
• Documents in a clear and concise manner, addressing interventions used, response to interventions, progress and plan for follow through and referrals.
• Documents legibly.
• Documents using the EMR system appropriately.
• Obtains signatures for patient contact.

• Excellent written and verbal communication abilities.
• Outstanding interpersonal skills.
• Ability to work independently or on a team.
• Ability to work in a fast-paced clinic environment as a piece of a care team.
• Personal resourcefulness and the ability to collaborate with team members and patients.
• Knowledge of local population demographics, assets and needs.
• Knowledge and ability to facilitate use of health care system (e.g.…