Community Health Worker (CHW)

Description

Summary

Under the supervision of the Director of Community Resource Center the Community Health Worker – Enhanced is responsible for providing intensive case management and coordinating services to address members’ complex health-related social needs (HRSN). Community Health Worker – Enhanced serves as the primary point of contact for referred members, develops Social Care Plans, and ensures the coordination and sustainability of services within the Social Care Network (SCN).

Essential Functions:

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. 

• Receive and review referrals in Findhelp from Navigators or other SCN entities.
• Determine agency capacity to accept referrals and respond accordingly.
• Document acceptance, rejections, and referrals to other agencies in Findhelp.
• Conduct a minimum of three outreach attempts within five (5) business days.
• Document all outreach efforts in the Outreach Tracker in Findhelp.
• Serve as the primary point of contact for members upon successful outreach.
• Conduct a comprehensive assessment of member needs and priorities.
• Develop and maintain individualized Social Care Plans
• Collaborate with internal and external service providers to coordinate care.
• Track care management units of service and reassess eligibility for enhanced services as required.
• Maintain regular contact with members to monitor progress toward goals.
• Provide advocacy, support, and coaching to promote self-sufficiency.
• Support members in sustaining services and natural supports post-engagement.
• Attend staff meetings and formal/informal training sessions inside and outside the agency.
• Participates in community activities as representative of the program when assigned.
• Is available to work outside regularly scheduled work hours as needed.
• Any other duties may be assigned by the immediate supervisor.

Requirements

Authority:

The employee exercises initiative and some independence in establishing his/her schedule for meetings with participants, other caseworkers and community agencies.  Follows pre-established procedures for program implementation and daily operations. The individuals must be resourceful and able to assess situations to determine if a crisis is involved and how to best proceed within the framework of the agency’s as well as the program’s policies and procedures. The employee will consult with supervisor if in doubt prior to proceeding.

Core Competencies

• Accuracy & Compliance: Ensures proper documentation for Medicaid-billable services.
• Member-Centered Engagement: Builds rapport, obtains informed consent, and handles sensitive topics with care.
• Collaboration: Works closely with Navigators, Eligibility Specialists, and Enhanced Care Management partners.
• Confidentiality: Adheres to HIPAA, agency, and funder compliance requirements.
• Commitment to equity, diversity, and inclusion in service delivery.
• Detail Oriented: Ability to pay attention to the minute details of a project or task.
• Diversity Oriented: Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
• Ethical: Ability to demonstrate professionalism conforming to a set of values and accepted standards.
• Reliability: The trait of being dependable and trustworthy.
• Communication, Oral:  Ability to communicate effectively with others using the spoken word.
• Communication, written: Ability to communicate in writing clearly and concisely.

Qualifications

• High School Diploma or equivalent required or associate’s degree in human services, preferred.
• One (2) year of experience in case management, health care coordination, or community health preferred.
• Bilingual (English/Spanish) strongly preferred.
• Strong organizational, documentation, and data-entry skills with attention to detail.
• Ability to engage with diverse populations professionally and empathetically.
• Strong communication, organizational, and problem-solving skills.

? Basic knowledge of Microsoft Word.

? Able to provide own transportation and have a valid good standing NYS driver’s license 

? An equivalent combination of training and experience other than the specified, if judged to be adequate for the job, may be accepted by the President and CEO