Care Neighborhood Community Health Worker (Cantonese or Vietnamese)

Job Summary:

Care Neighborhood is an innovative program in collaboration with the Community Health Center Network (CHCN) to support and empower identified high risk-high needs patients to improve their health outcomes. The multidisciplinary team (Nursing staff, MD, LCSW, and CN CHW) works together to support patients and address the social determinants that impact health. These include food, housing, transport, and financial resources. Care Neighborhood Community Health Workers does outreaches to these high-risk patients and families in the field/community, engages with patients and feeds information back to the are team .to develop a care plan, links patient with needed resources in the community and services within the clinic. Ideally, the CN CHW will be a trusted member of the community in which they will work. This relationship will enable the CHW to serve as a liaison between health and social services and the clinic.

Essential Job Functions

• Conducts outreach and assessments. Enrolls patients and provides ongoing assessment and case management services.
• Advocates for patients and helps them achieve their best health by identifying unmet needs and assisting to remove barriers to health and wellness.
• Communicates effectively with patients, documents clearly in the medical record, and interface with medical providers to advocate for the patient.
• Demonstrates dependability and can work with minimal supervision as much of the work will take place in various settings such as medical office, specialists, hospitals, patients home.
• Assists in the development of a care plan that reflects patients needs.
• Advocates for patients and connects patients to available internal and community resources to meet these needs.
• Serves as a liaison between the health and social services providers in the community and AHS.
• Interfaces effectively with clinic staff, community, and multidisciplinary Care Neighborhood team.
• As a mandated reporter, report to authorities for suspicious abuse and neglect cases.
• Attends required AHS and CHCN meetings as well as training.
• Attends Care Neighborhood patient support group RESPECT.
• Meets departmental and Care Neighborhood documentation standards.
• Builds and maintains appropriate relationships on behalf of CHCN, the collaborating agency.
• Is a trusted member of the community.
• Supports a positive work environment and fosters teamwork.
• Other duties as assigned by the supervisor.

Minimum Qualifications

• Bachelor level in Social Work or related field
• Or at least three years of work experience in a community-based health care capacity
• Fluent in Cantonese and/or Vietnamese is required
   

Knowledge, Skills & Abilities

• Competent leadership and administrative skills.
• Flexibility and creativity
• Good communication and customer relations skills; ability to work well with a team and independently.
• Proficiency in computer operations, navigational skills, and comfortable with Internet-based applications.
• Sound decision-making skills including problem-solving, critical thinking, and good judgment.
• Professional demeanor.
• Excellent communication, organizational, and time management skills with the ability to meet tight timeframes.
• Strong understanding of the managed care environment.
• Ability to work effectively and collaboratively with a variety of customers including hospital/office staff, health plans, members, and physicians.
• Flexible and adaptable to change.
• Ability to learn quickly and retain complex information.
• Travel to work assignments, a valid current license, and appropriate individual automobile insurance must be maintained.