Title: High Risk Primary Care-Based Community Health Worker
Organization: Brigham and Women’s Hospital
Brief Summary of Position:
This is a full-time, temporary position for someone interested in helping patients with complex medical and social problems improve their access and utilization of health care services. A Community Health Worker (CHW) is a trusted member of the community who helps patients better access and coordinate their health care. CHWs act as caring neighbors to help patients address the social and medical problems that lead to poor health. The goal of a high risk community health worker is to assist the most high risk patients with the tasks of getting medical care, working on health goals (such as arranging care, filling medication prescriptions, planning healthy meals, or finding time to exercise), and to help them deal with the “real-life” issues that keep them from staying healthy.
- Provides community health work services for patients identified as high risk due to medical or psychosocial challenges.
- Attends initial and continuing education training programs including self-directed reading and in-person and online learning.
- Works with patient and provider to set goals for patient’s care.
- Meets patients in their homes and performs structured assessments that include goal setting.
- Meets patients in the emergency department, primary care clinic or hospital to reinforce and advance patient goals.
- Makes weekly follow-up calls and regular home visits to patients.
- Motivates patients to meet their health goals.
- Provides culturally sensitive services to patients from different cultures.
- Coordinates with the iCMP Resource Specialists to access resources for identified problems including homelessness, substance abuse and food insecurity after assessment by a licensed social worker clinician.
- Assists patients with organizing their records, making follow-up appointments, and filling their prescriptions.
- Helps patients fill out applications for Medical Assistance and SNAP (Supplemental Nutrition Assistance Program).
- Provides advocacy, patient education and support in accessing community-based and hospitalbased programs.
- Refers to internal or external care management services when other issues are identified (i.e. food insecurity, domestic violence, etc.)
- Develops and maintains strong working relationships with the iCMP nurse care coordinator, iCMP behavioral resource specialist, primary care physician and health center behavioral health team.
- Documents each patient encounter in detail.
- Prepares reports and documents as needed or requested.
- Attends a weekly group meeting with program supervisors.
- Other duties as reasonably assigned.
- Bachelor’s degree preferred.
- Local community resident with good knowledge of the resources of the community.
- Prior experience as a community health worker, health coach or outreach worker desired; health care experience a plus but not required.
- Demonstrated commitment to impacting the care of high risk patients.
- Solid knowledge of the Core Competencies for CHWs (as identified by Massachusetts, Department of Public Health)
- Prior experience using motivational interviewing a plus but not required.
- Excellent oral and written communication skills.
- Ability to carry out written and oral instructions.
- Ability to exercise judgment in the application of professional services.
- Ability to work both independently and as a team member in multicultural settings.
- Ability to speak Spanish is a plus
- Detail-oriented with the ability to multi-task.
- Ability to plan and structure workday.
- Comfortable with home visits and outreach.
- Strong time management, organizational and planning skills.
- Must have two references.
- Must successfully pass a background check and pre-employment physical exam.
- Must be willing to commit to the full time period of employment.
- Proficient in all Microsoft Applications, including MS Word and Exel.
- Able to perform computer data entry.
To Apply: For more information regarding working dates and schedule and to apply, click here.