Community Health Worker CMC

Department :

12103 Advocate Christ Medical Center - Community Health : Assessment and Report

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Monday Through Friday noon to 8 : 30PM and rotating weekends

Pay Range

$19.45 - $29.20

Major Responsibilities :

Patient Outreach & Resource Navigation

1)Provide intensive outreach efforts by conducting home visits or visits to other appropriate settings to an identified patient population.

2)Establish relationships with patients / families and provide general support and encouragement.

3)Conduct intake interviews with patients using established protocols and intake tools.

4)Work with patients and their physicians to develop personal health action plans that are achievable.

5)Assist patients in addressing challenges to care for transportation, language, family / social support.

6)Schedule appointments and perform reminders for patients. Ensure appropriate resources are available for attending appointments.

7)Follow-up with patients by letter, phone call, text or home visit on missed appointments or referrals.

8)Assist patients with comprehension of health insurance eligibility, benefits and navigation.

9)Educate patients on self-care, healthful living, setting and achieving goals, using / reinforcing SUHI's clinical education protocols, APP's evidence-based tools or other, evidence-based tools.

10)Refer patients to community-based resources to adhere to physician recommendations. 11. Alert APP clinical team on patient needs, concerns, and interests. Ensure continuity of care. 12. Keep accurate records of patient contacts and document patient needs, action plans, and follow up needs in appropriate database or electronic medical record.

B. Health Education

1)Provide health education activities for identified health concerns such as Asthma, Diabetes, Hypertension and other chronic diseases.

2)Provide informal counseling, education, and social support to assist patients with gaining access to continuous care and enabling services.

3)Coach / encourage patient self-management and adherence to clinical recommendations for identified health concerns such as Asthma, Diabetes, Hypertension and other chronic diseases.

C. Community Outreach & Advocacy

1)Develop and maintain strong working relationships with external (e.g., referral sources and community agencies) and internal contacts (care team) through direct contact including participating in community meetings and care team huddles.

2)Share information and resources, collaborate on initiatives and provide education to referral sources and community agencies in order to coordinate access to services.

3)Collect and organize information to be used for current services and future community health education and outreach activities.

D. Program & Care Team Operations

1)Participate in care team huddles to understand and proactively respond to the needs of the patient population.

2)In collaboration with the clinical team, identify, consolidate and manage a high-risk patient registry.

3)Assist care team as needed and performs other duties as assigned.

Education / Experience Required :

• High School Diploma / G.E.D. 2 years experience, preferably in related area.

Knowledge, Skills & Abilities Required :

Physical Requirements and Working Conditions :

Spanish-speaking a plus Able to sustain full time, 40 hrs / week schedule Able to navigate city driving / find specific residences Hold valid / active driver's license , own or have consistent / dependable access to vehicle that meets daily task requirements with proof of active and lawful car insurance. Familiarity with and experience working in Chicago's South and Southwest communities (resident of Southside communities preferred). Passion for and dedication to working with community members Excellent phone mannerisms Ability to effectively engage conversation, motivate and engage patients to participate in our program, and speak to all types of patients, particularly seniors. May need to flex daytime hours to stretch to 8pm M-F and possibly Saturday if needed to reach pts after work hours.

If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06 / 01 / 2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting / movement situations will be assessed on a case-by-case basis.

Addendum : updated old jd for new APP position

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including :

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About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.