Under general supervision, engages one on one with participants from a variety of backgrounds to identify their medical, behavioral, and/or social health and wellbeing needs; works with the participant to develop a care plan; and connects the participant to community resources to improve their health. Obtains and records information contributing to the participants barriers to good health and acts as a liaison to identify and navigate community resources using an evidence-based model to reduce barriers to health and wellbeing. Provides navigation services, Medicaid Outreach, and DHD#10 services outreach in office, clinic, and community settings.
Essential Duties
Provides basic screening for health and social service needs. Identifies barriers and necessary pathways to ensure connection to a variety of needed health and social services.Conducts scheduled visits with participants, including home visits, as needed to meet participant needs.Acts as an advocate and liaison between the participant and other service providers, and helps the participants understand, accept, and follow medical recommendations.Provides education and outreach to participants through in-person consultation and written material.Assesses eligibility for health insurance coverage and provides enrollment assistance.Adheres to established program policies and procedures including utilization of pathways, case conferencing, and timely data collection and reporting. Tracks and documents activities and results according to established procedures and timelines.Effectively engages with participants to quickly build trusting, authentic relationships.Provides information and social support on health behaviors. Makes referrals to external service provider agencies and internal agency programs as appropriate.Prepares and maintains participant-related documentation in electronic health record.May conduct outreach activities in office, clinic, and/or community settings. May provide outreach calls to current participants due for clinical services; may provide outreach calls to referral lists from Medicaid Health Plans due for clinical services.Participates in ongoing training to maintain professional excellence in the CHW field.Maintains confidential information.
Other Duties and Responsibilities
Other duties as assigned, including providing front desk coverage at same or other locations as needed.May be assigned to perform duties within one program, where additional certification is not required.Maintains up-to-date vaccines including flu (influenza), in accordance with CDC guidelines: Recommended Vaccines for Healthcare Workers.