Job Abstract

Job ID

2022-16009

The Lead, Community Health Worker (CHW) position will assist in leading all efforts in helping high-need and complex patients address real-life obstacles that keep them from staying healthy, and to ultimately improve health outcomes. Community Health Workers are based at the primary care clinics and work together with an Interdisciplinary Team to support patients in addressing the social factors that impact a patient’s health. The Lead CHW supports the clinic based CHWs with training, creating and updating processes/workflows, identification of community resources, and assisting with CHW coverage when needed. The Lead CHW is primarily remote and will travel to clinics, member’s homes, hospitals, shelters, and/or community destinations in order to provide patients and CHWs with support, training in outreach, assessment and documentation. The Lead CHW will act as a technical assistant for the CHWs, assist in quality assurance, data analysis, and support with highly complex patients.

1. Conduct and train CHWs to do patient home visitations.
2. Support CHW in care management of high risk and/or complex patients.
3. Provide CHW coverage via telephone or in person care management
4. Conduct program quality assurance (e.g. documentation auditing, ensure all CHWs have required trainings).
5. Provide technical training and assistance for program (e.g. program pitch, outreach, assessment, care plan, care coordination, connection to social and community services).
6. Data tracking and reporting (e.g. CHW case load, weekly encounters, patient eligibility).
7. Conduct home, clinic/office, and hospital visitation with CHWs as needed for training purposes, and or to support a patient.
8. Identifies/escalates challenges and best practices from clinics, and works with CHW management and staff on program improvement.
9. Assists with meeting and event planning.

1. High School Diploma or GED is required.
2. Bachelor’s degree preferred.
3. Minimum of 3 years of experience as a CHW in a community health based setting
4. Experience writing case notes and care plans using an electronic health record required.
5. Experience working with diverse populations required.
6. Must have access to a safe vehicle when traveling to a home environment.
7. Certificate or courses in Community Health Work preferred.
8. Familiarity with EPIC, Essette, and local community resources preferred.
9. Bilingual (Spanish/English) or another secondary language required due to population being served.