Must be bilingual Eng/Spa
POSITION SUMMARY
The Community Health Worker (“CHW”) is instrumental in providing support to MyCare clients by engaging them in healthier living patterns through proven 1:1 teaching and behavior modification strategies. The CHW builds individual and community capacity by increasing health knowledge and self‐sufficiency through development of a person-centered care plan and monitoring progress of interventions. The CHW serves as a liaison between health/social services and the client to facilitate access to services, improve cultural competence of service delivery, and to promote sustained health improvement and independence.
ABOUT HOME ASSIST HEALTH
Our mission is to be a bridge of compassionate equality for all people in their independence, health and wellbeing. Our vision is to be a home care pioneer creating stronger communities one person at a time. We achieve results by exemplifying our values in everything we do: Creating trust through integrity, Partnering for stronger communities, Boldness to lead with pioneer spirit, Innovation that elevates the human potential, Serving with compassionate equality, and Promoting value through meaningful outcomes.
ESSENTIAL FUNCTIONS
· Act as a positive representative of Home Assist Health upholding the company’s Mission, Vision, and Purpose.
· Perform as the onboarding specialist: engage and welcome referred clients to the MyCare program and team, complete the referral process, conduct and/or coordinate for the completion of the intake process and schedule first visits.
· Conduct in person home based assessments which may include:
o Environmental Safety and Fall Risk Assessment
o Social Determinants of Health Assessment
· Develop and implement person-centered home-based interventions (“MyCare” plans).
· Monitor and report on progress of MyCare plans and activities.
· Identify and recommend changes to MyCare plans and strategies for positive outcomes.
· Document all case related notes, updates and referrals in both the Home Assist Health AlayaCare system, the EPIC system, and other software programs that may be identified for tracking and business-related services while strictly adhering to the policies and procedures in place.
· Provide patient navigation support for utilization of health and social services, engaging patient in community resources and providing disease education materials.
· Work collaboratively with the clinical team to engage, educate, communicate, and coordinate care with recipient, their family, behavioral and general medical and dental health care providers, community resources and others to ensure that all services prescribed in the person-centered care plan are implemented.
· Provide health coaching, education and skill building for improved self-management of health and social needs.
· Triage phone calls, referrals, and conduct home visits to support client’s transitioning from hospital to home, to address discharge plans, medication review, appointment adherence and social determinates of health.
· Enter patient services schedules and ensure services are billed according to current practice and procedure
· Build and maintain positive working relationships with clients, partners and all team members.
· Advocate for and help clients get resources that would improve their well-being.
COMPETENCIES
· Requires the ability to read, write and speak effectively in English
· Requires the ability to read, write and speak effectively in Spanish, native proficiency preferred
· Requires ability to professionally communicate with other Health Professionals at all levels
· Must be proficient in computer skills including Microsoft Outlook, Word, and Excel
· Requires proficiency in time management, organizational skills, interviewing, and relationship-building
· Must possess exceptional customer service skills
· Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals
TRAINING AND EXPERIENCE
· Certification as a Community Health Worker through an approved CHW training program (to be obtained within one calendar year of appointment.)
· AHCCCS Direct Care Worker Training or current AZBN RN/LPN/CNA/LNA.
· DCW Developmental Disability training module.
· Skill Building/ISP Process or Habilitation Training.
· Article 9 Training.
· Prevention & Support Training required for specific services.
· Current CPR and First Aid Certifications required
· COVID-19 Vaccine
· Required: Direct patient contact experience
· Preferred: Community health worker, Medical Assistant, Habilitation aide, CNA
PHYSICAL REQUIREMENTS
· 50% of time when not in office will be required visits to patient homes.
· Must be able to lift 25 lbs.
· May require sitting or standing for long periods of time
PHYSICAL & MENTAL LIMITATIONS STATEMENT
You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in evaluating reasonable accommodations.