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Community Health Worker II / 40 Hours / MGH- Community Health Improvement

Company: Partners Healthcare System
Location: Chelsea
Posted on: January 12, 2021

Job Description:

Job Description - Community Health Worker II / 40 Hours / MGH- Community Health Improvement ( Spanish Fluency Preferred) (3139471)Job Description Community Health Worker II / 40 Hours / MGH- Community Health Improvement ( Spanish Fluency Preferred) - (3139471)Description GENERAL SUMMARY/ OVERVIEW STATEMENT:The goal of the Community Health Worker is to facilitate the most high-risk and underserved patients, identified by nurses, doctors and social workers to adhere to key components of their health care. The community health worker will engage patients, create a trusting relationship, navigate patients to important appointments, make follow up home visits (or ---porch--- visits during the COVID pandemic) and closely communicate with the provider team based on clear goals set out through the referral process. The community health worker will engage patients in setting their own short-term goals and will track the benchmarks along the way toward the achievement of these goals. The CHW will aid patients in the coordination and completion of appointments inside and outside of MGH. In addition, the community health worker will work with patients to help decrease barriers to timely follow-up care. While the community health worker is not a clinical position, it requires a good knowledge (ability to learn) of basic clinical concepts and an understanding of when a referral to a licensed clinician is appropriate. PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation. Provide community health work services for patients identified as high risk due to medical or psycho social challenges.Complete an initial assessment with the patient and provider to identify the specific areas of focus for the CHW role with particular high-risk patients.Work with patients and providers to set goals for patient---s care.Motivate patients for meet their health goals.Work with patient to identify and help patient to address barriers to care. Provide culturally sensitive services to patients from different cultures. Help the patient to put systems in place in their own environment to assist with the management of their care. Help to address any logistic barriers, scheduling complications, child care needs, etc., that would prevent a patient from showing up at their appointment.Assist patients in organizing their records, making follow up appointments and filling their prescriptions.Help patients to develop their own plans for getting to various appointments for screening and diagnostic tests, and treatment services.Accompany patients to specialty and imaging centers when needed to provide support and advocacy.Meet patients in the community or conduct ---porch--- visits when and where appropriate to follow up on key aspects of the patient---s care and to assess the in home barriers to compliance and engage patients in addressing their barriers.Maintain regular communication with the patient---s providers through clinical messages in the electronic health record, emails, phone calls and case review meetings.Document each patient encounter in detail. Track benchmarks of progress in care --- including short term goal completion along the way. Work with primary care providers to reinforce health education messages --- the importance of follow-up care, medication adherence, routines of self care, etc.Review and educate patients on the preparation for colonoscopy, pap smear, mammogram, and other visits to specialty or imaging departments.Refer to internal or external case management services when other issues are identified (i.e. hunger issues, domestic violence issues, etc.)Provide advocacy, patient education and support in accessing community-based and hospital-based programs. Enter notes of intervention into the appropriate electronic health record Develop and maintain a strong working relationship with the schedulers of screening appointmentsWork with medical interpreters to reach patients of other languages.Produce mid year and end of the year reports on program activities compiling data from data bases and writing up case examples. Qualifications QUALIFICATIONS: The community health worker position requires the ability to be self-directing, outgoing, professional, organized and to work as a patient advocate with people from many different cultures and backgrounds. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: BS in Psychology/Social Work or related field preferred. High school degree required.Minimum two years of working experience. Previous work in community settings preferred.Demonstrated commitment to impacting the care of high risk patients.Experience working as a patient navigator/community health worker preferred.Ability to work both independently and as a team member in multicultural settings.Fluency in Spanish preferred.Detail-oriented with the ability to multi-task.Proficient in all Microsoft Applications, including MS Office and Excel.Strong time management, organizational and planning skills. WORKING CONDITIONS: Need to be able to work from home or in the office. SUPERVISORY RESPONSIBILITY: EEO Statement Massachusetts General Hospital is an Equal Opportunity Employer.By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged Primary Location: MA-Chelsea-MGH 151 EverettWork Locations: MGH 151 Everett 151 Everett Avenue Chelsea 02150Job: Social Services/Mental Health - OtherOrganization: Massachusetts General Hospital(MGH)Schedule: Full-timeStandard Hours: 40Shift: Day JobEmployee Status: RegularRecruiting Department: MGH Community Health ImprovementJob Posting: Nov 20, 2020

Keywords: Partners Healthcare System, Chelsea , Community Health Worker II / 40 Hours / MGH- Community Health Improvement , Other , Chelsea, Massachusetts

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