Community Health Worker- Rockbridge

Conducts initial and ongoing assessments and implements goals in partnership with the care team. Interacts effectively with staff, patients, families and members of the care team. Must be familiar with the community and have a sensitivity to various cultures. Must be able to work independently as well as within the team environment. Is able to demonstrate client advocacy skills. Maintain strict confidentiality per HIPAA and exhibit professional boundaries.

Performs significant job responsibilities:

* Identify potential clients and develop a rapport with clients in order to build trust and productive relationships.

* Conduct a standardized client assessment using a predetermined checklist, preferably during the first visit to the client's home. Collect demographic data and other client information to effectively address any identified medical, behavioral health, oral health, social, environmental and educational risk factors.

* Document client information in electronic health record or care coordination software systems.

* Have periodic encounters, visits and communication with the clients in order to build and maintain effective pathways for care.

* Collaborate with larger care team to develop, monitor and assess individualized care plans to prioritize and address the clients' risk factors in order to improve health outcomes. Each plan consists of a series of pathways designed to address the clients' identified medical, behavioral health, oral health, social, environmental and educational risk factors. Assist clients in adopting healthy behaviors and access needed services.

* Ensure the Pathways HUB Model is strictly adhered to in following the appropriate steps, including identifying measurable outcomes.

* Work with supervisors and others who are a part of the care team to identify solutions to close identified gaps, barriers, and deficiencies in access to services and the provision of services.

* Successfully complete orientation and ongoing training and seek opportunities to expand knowledge and understanding of community needs, resources, services and programs available to meet clients' needs.

* Work with a variety of agencies and community-based organizations, as requested, to identify gaps in services and align initiatives that improve the health of our community.

* Consistently deliver the best in customer service and patient care. As a team member, demonstrate respect, dignity, kindness and empathy in each encounter with patients, families, visitors and other employees.

* Champion Carilion's mission, vision and values; comply with the policies and procedures, ethical standards and code of conduct set forth by the company

*Conducts initial and ongoing client assessments, and implements individualized care plans in partnership with the interprofessional care team. Interacts effectively with staff, patients, families, visitors, members of the health care team and community based partners to develop, coordinate, and manage the plan of patient care. Must possess the ability to collect and assess data of various patient populations. Must be familiar with the community and have a sensitivity to and understanding of various cultures. Must be able to work independently with limited supervision , as well as in a team environment when collaborating on care plans.. Demonstrates the role of patient advocate. Maintains strict confidentiality per HIPAA guidelines.

* Performs in accordance with program policies and procedures, state and federal guidelines. May be exposed to infectious diseases, bio-hazards, and hazardous materials, including regulated medical waste. May conduct home visits in high crime areas and may have combative patients.

* The CHW may be exposed to environmental irritants such as dust, fumes, gases (i.e. O2) in home environment. Work environment (homes) may be limited in space. Frequent exposure to extremes in temperatures dependent on individual home environments as well as seasonal weather changes. Frequent travel in adverse weather conditions such as rain, snow, sleet, wind, high/low humidity, etc. Must be able to operate a motor vehicle or have a reliable method of transportation.

Experience:

Two years of general work experience required. Experience in community outreach efforts as a volunteer or paid professional preferred. Experience in working with underserved populations or direct patient care/reception, registration and/or customer service/consumer relations preferred.

Recruiter:

Recruiter Email:

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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