Community Health Worker at Connecticut Institute for Communities, Inc. – Danbury, Connecticut

Summary:

This position is responsible for providing supportive social services to GDCHC patients and their families, including referrals and follow ups as required in accordance with GDCHC’s standard of care. In addition, this position is responsible for supporting the GDCHC providers by providing assistance with substance abuse treatment identified

This position requires compliance with CIFC and GDCHC’s written standards, including its Compliance Program and all organizational policies and procedures (“Written Standards”). Such compliance will be considered as part of the employee’s regular performance evaluation. Failure to comply with CIFC and/or GDCHC’s Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or CIFC or GDCHC’s Written Standards, will be met by the enforcement of disciplinary action, up to and including possible termination, in accordance with the CIFC Compliance Policy & Plan and the CIFC Employee Manual.

Essential Job Responsibilities:

· Provides appropriate linkages, referrals, coordination, and follow-up for patients to services and supports, both internally and externally.

· Facilitating healthcare and social service system navigation.

· Screenings for social determinant of health.

· Providing informal counseling discuss issues, concerns related with basic needs and lack of community resources. Write progress notes based on meetings.

· Inform, guide and assist patients with basic needs and community resources.

· Determining eligibility and enrolling individuals into health insurance plans.

· Educating health system providers and stakeholders about community resources.

· Serves as a point person in receiving and assigning referrals for services, in collaboration with the Department Chief(s). This includes referrals from community and CIFC Health (IM Department, Pediatric Department, WH Department, Dental Department, etc.).

· Responsible to collect clinical data and records prior to intake appointment including records from other facilities, package of ratings to be completed by patients and appropriate collateral.

· Communicates with other providers internally and externally regarding referral outcomes by creating Provider letters, Discharge Letters, and Summaries in cooperation with providers.

· Participates in Clinical Team Meetings and communicates with providers involved in patients’ care to facilitate all communication and coordination with the team.

· Attend provider team meetings to promote collaboration of service and treatment providers.

· Attend and participate in individual and/or peer supervision as directed.

· Serves as the point person for tracking Treatment Plans updates in collaboration with providers and Department Chief(s).

Essential Job Responsibilities:

· Provides appropriate linkages, referrals, coordination, and follow-up for patients to services and supports, both internally and externally.

· Facilitating healthcare and social service system navigation

· Screenings for social determinant of health

· Providing informal counseling discuss issues, concerns related with basic needs and lack of community resources. Write progress notes based on meetings.

· Inform, guide and assist patients with basic needs and community resources

· Determining eligibility and enrolling individuals into health insurance plans

· Educating health system providers and stakeholders about community resources

· Serves as point person receiving and assigning referrals for services, in collaboration with the Department Chief(s). This includes referrals from community and GDCHC (IM Department, Pediatric Department, WH Department, Dental Department, etc.).

· Responsible to collect clinical data and records prior to intake appointment including records from other facilities, package of ratings to be completed by patients and appropriate collateral.

· Communicates with other providers internally and externally regarding referral outcomes by creating Provider letters, Discharge Letters, and Summaries in cooperation with providers.

· Participates in Clinical Team Meetings and communicates with providers involved in patients’ care to facilitate all communication and coordination with the team.

· Attend provider team meetings to promote collaboration of service and treatment providers.

· Attend and participate in individual and/or peer supervision as directed

· Serves as the point person for tracking Treatment Plans updates in collaboration with providers and Department Chief(s)

Essential Job Responsibilities:

· Provides appropriate linkages, referrals, coordination, and follow-up for patients to services and supports, both internally and externally.

· Facilitating healthcare and social service system navigation

· Screenings for social determinant of health

· Providing informal counseling discuss issues, concerns related with basic needs and lack of community resources. Write progress notes based on meetings.

· Inform, guide and assist patients with basic needs and community resources

· Determining eligibility and enrolling individuals into health insurance plans

· Educating health system providers and stakeholders about community resources

· Serves as point person receiving and assigning referrals for services, in collaboration with the Department Chief(s). This includes referrals from community and GDCHC (IM Department, Pediatric Department, WH Department, Dental Department, etc.).

· Responsible to collect clinical data and records prior to intake appointment including records from other facilities, package of ratings to be completed by patients and appropriate collateral.

· Communicates with other providers internally and externally regarding referral outcomes by creating Provider letters, Discharge Letters, and Summaries in cooperation with providers.

· Participates in Clinical Team Meetings and communicates with providers involved in patients’ care to facilitate all communication and coordination with the team.

· Attend provider team meetings to promote collaboration of service and treatment providers.

· Attend and participate in individual and/or peer supervision as directed

· Serves as the point person for tracking Treatment Plans updates in collaboration with providers and Department Chief(s).

-Act as a cultural broker to provide feedback to staff and patients on cultural issues that may affect patient’s health, including ways to address health disparities and meet Quality Improvement project goals.

-In collaboration with the Outreach team, participate in outreach events to foster trust and understanding by working directly within the communities we serve.

· Adheres to all HIPAA regulations, including those related to the heightened protection of health records, and maintains confidentiality at all times.

· Fulfills all compliance and training responsibilities related to position, including compliance with and enforcement of CIFC and CIFC GDCHC policies and procedures.

· Performs other related duties as assigned.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Current (annual) TB screening is required of all employees.

EDUCATION and/or EXPERIENCE:

Minimum of a high school diploma or equivalent, bachelor’s degree preferred.

Must be from the community that is being served or have a familiarity of the community.

At least 1 year of related work experience; community health experience and/or community resource knowledge strongly. preferred.

Ability to work independently and as part of a team

Ability to interact professionally, effectively and courteously with staff and patients required.

Experience with navigating local medical and social support systems preferred

Experience communicating effectively verbally and in writing with people of differing cultural and socio-economic backgrounds

Experience working with computer systems, including proficiency in MS Office Suite (Outlook, Word, Excel, etc.)

Must have reliable personal transportation.

Bilingual in Spanish or Portuguese is preferred.

KNOWLEDGE AND ABILITIES:

Knowledge of standard office policies and procedures.

Skill in organizing time and managing multiple demands.

Skill in communicating and dealing with patients and visitors as well as other staff members.

Ability to effectively supervise the work of others.

Ability to work independently and use good judgment in work prioritization.

Ability to complete difficult/complex tasks.

Ability to write clearly and concisely.

Ability to follow oral and written instructions.

Ability to maintain strict confidentiality.

Ability to interact positively with the public

Ability to effectively assist patients with their personal information on intake forms

Ability to utilize strong organizational skills

Ability to engage with other health care providers, insurance companies and referrals as necessary.

PHYSICAL DEMANDS:

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to sit for long periods of time, talk, hear, write, operate a keyboard, visual acuity to read small print and view a computer monitor, reach to the top of a five-drawer filing cabinet and lift boxes of not more than 30 lbs. Duties also require standing, sitting, stooping and walking.

Some evening and week-end work will be required