Community Health Worker II

• Summary:

• The Community Health Worker III (CHW III) takes a lead role in proactively helping patients and their families navigate and access health and community services while adopting healthy behaviors.

The CHW III works as a member of the care team through an integrated approach to care management and community outreach. The CHW III works to promote, maintain, and improve the health of patients and their families by providing social support and informal counseling. The CHW III partners closely with different providers, patients, and outside organizations and is responsible for facilitating communication between patient and care teams across the care continuum and providing culturally appropriate health education and self-management support. Additionally, the CHW III will collaborate within a team-based care delivery model to improve the health and lives of our community members. The CHW III will participate in the development and implementation of innovative, cost-effective, and quality improvement delivery system changes that proactively meet the complex needs of our patients, including efforts to manage their behavioral and social needs in addition to their medical care. The CHW III engages in reporting required public health outcomes information as required by state and federal guidelines. The CHW III mentors and precepts CHW I or II to provide guidance as they grow into their positions. The CHW III is active with local community organizations, committees, and educational entities to expand knowledge, best practices, and improvements to the care of patients; serving as a seasoned liaison between patients and community agencies.

• Job Responsibilities:

• 1)•Target and outreach, including home visits, to the most vulnerable and at-risk patients and establish positive and supportive relationships •2)•Proactively assist with medication adherence, reminding patients about upcoming appointments, arranging transportation assistance, and other services patients may need •3)•Act as the primary contact person within the clinic for enrollment of new members and educate patients on all aspects of the healthcare delivery system •4)•Complete Care Needs Screenings and all other applicable screenings to assess needs of the patient and provide appropriate referrals.

• 5)•Seasoned in coaching patients in the effective management of their chronic conditions and establish healthy habits specific to their care plan to improve self-care continually.

• 6)•Provides basic health education in individual or group sessions and helps patients to develop health management plans that support the achievement of their individualized health and wellness goals •7)•Help patients identify and utilize community resources using databases, in addition to scheduling and accompanying them to appointments and assisting with the completion of applications for programs for which they may be eligible.

• 8)•Facilitate communication and coordinate services between providers; work collaboratively and effectively within a multidisciplinary team •9)•Builds and maintains positive working relationships with the clients, providers, supervisors, and all staff •10)•Continuously expand knowledge and understanding of community resources and services, public health prevention, and evidence-based intervention programs provided •11)•Seasoned in effectively working with people from diverse backgrounds, including translators, in reducing cultural and socio-economic barriers between clients and institutions.

• 12)•Develops and implements culturally and linguistically tailored educational and support activities •13)•Collaborates with the care team to track, monitor, and report on specified disease-related and patient-tracking measures •14)•Documents activities, service plans, and results in inappropriate data collection tools and/or EMR in a clear and concise manner.

Escalates concerns to healthcare team

• 15)•Takes lead on coordinating, training, and mentoring of new CHW's •16)•Reports out required Public Health outcome information as required by state and federal guidelines.

• 17)•Collaborates with local community organizations, committees, and educational entities to improve the knowledge and best practices for the community and CHW team •18)•Participates and/or presents relative topics to peers in quality meetings, staff meetings, or educational events.

Assists and supports the role of the Care Coordinator.

• 19)•Serves as role model and mentor to CHW I and II positions.

Share educational knowledge and experience as needed.

• Required Education:

• CHW certification required

• Required Work Experience:

• 3 years of experience working as a Community Health Worker with above average work ethic

• Preferred Work Experience:

• None Required

• Skills and Competencies:

• Trust, respect, and dignity for all human beings are core values among CHWs, and are central to efforts to address clinical and community integration and the social determinants of health Bilingual skills are preferred and specific to the patient population being served.

Ability to use a computer, Microsoft Office, EMR, and proficient in accessing and searching the internet Ability to work and manage community care partner meetings and demands by being a liaison for the patient and health center Strong communication and writing skills Excellent time management and organizational skills Willingness to work some weekend/evening hours depending on project and community needs, such as advocacy and community capacity building activities Demonstrated ability to work as an effective team member in a complex and fast-paced environment Excellent interpersonal skills and demonstrated ability to interact professionally with culturally and educationally diverse staff and clients Must have the ability to work with highly sensitive and confidential information Reliable transportation with MA driver's license

• Education:

• GED or HiSET (Required)

• Certifications:

• Certified Community Health Worker
• State of MassachusettsState of MassachusettsState of Massachusetts, Driver License
• OtherOtherOther
• Compensation

•

Note:

The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum

• Midpoint
• Maximum $19.29
• $25.47
• $34.33
• Equal Employment Opportunity Employer
• Baystate Health is an Equal Opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.