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Community Health Worker

Baltimore, MD

Posted: 09/14/2018 Employment Type: Full Time Industry: Healthcare Job Number: A

Job Description:
Our client is in search for a Community Health Worker (CHW) to work under the general supervision of the RN Program Manager.  The CWH will support patients by providing basic community outreach services and assisting with programmatic interventions (connections to community-based organizations and social services) necessary in coping with the transition from hospital to community, specially related to social determinants of health and those barriers to care and health. This position will maintain regular hospital hours (in bedded model) and an assigned caseload and will conduct regular home visits and patient assessments.

The primary responsibilities of this position are:

  • Work closely with hospital partners and hospital teams to participate in the Health-Related Social Needs screening process;
  • Conduct home and community visits to identified patients to introduce the program and confirm patient needs (identified in the HRSN screener);
  • Assist patients with the identification of appropriate community resources, on an ongoing basis (i.e. transportation, utility assistance, food, housing, health insurance, etc.)
  • Communicate general service information to individuals and families on objectives and services, eligibility requirements and benefits;
  • Refer eligible patients to necessary community based social services, identified via the resource database;
  • Complete documentation of services provided, and efforts made in appropriate databases;
  • Remind patients of and attend scheduled medical or community resource appointment, as needed.
  • Prepare written reports and maintain records of outreach contacts and activities; and
  • Participate in required program trainings, partner and staff meetings, workgroups (as needed), etc.


Required Skills:

  • 2+ years of experience
  • Exceptional written and oral communication skills to interface with patients, other healthcare workers/providers and community, local and state agencies
  • Motivational interviewing and patient-centered goal setting experience preferred
  • Experience with insurance programs and eligibility, social services resources (Baltimore area preferred), and eligibility and referral processes for community resources;
  • Experience with electronic medical records preferred
  • Strong organizational skills and the ability to perform tasks independently
  • English proficiency in reading, writing and speaking to (1) interact with patient, (2) document the patients' medical conditions in a standardized way, and (3) interact effectively with the staff at the hospital and other community agencies.
  • Sensitivity to cultural and socioeconomic characteristics of the population served.
  • Excellent oral and written interpersonal and communication skills required
  • Problem-solving skills
  • Proven ability to work efficiently and meet deadlines
  • High School Diploma is required, Associates Degree preferred
  • Experience working in a community or home setting preferred.

Rachel Amarti

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