What You Will Do:

General Summary

Under supervision, visits individuals and families in their homes, in shelters, or other similar places to provide basic community outreach services and to assist with social interventions necessary in coping with a new diagnosis.

May interact with individuals and families at the bedside in the hospital to enroll in community outreach services. Once enrolled, primary communication with patients may be telephonic, face-to-face, or via written material. Community Health Workers will work closely with medical providers, primary care teams, and other agencies to improve patient care.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Recruits a client base within the community by identifying, locating, interviewing, and screening individuals who may be appropriate for Transitional Care Programs, including Mobile Integrated Health (MIH), Transitional Care Coordination (TCC), other Care Coordination

• Programs and High-Risk Clinics such as the Coordinated Care Center (C3).

• Provides general information to individuals and families on program objectives and services, eligibility requirements and benefits,

• Confidentiality of information, etc. Distributes informational materials and literature.

• Schedules clients for appointments with health care providers. Reminds them of pending appointments and contacts them to inquire into reasons for missed appointments. Escorts clients to or calls clients to confirm various appointments to ensure compliance and provide support.

• Assists clients in obtaining necessary transportation and/or childcare when treatment is needed.

• Assists with client retention by following up on all contacts by telephone or by a home visit follow-up. Locates clients who have moved or lost contact with the program.

• Serves as a liaison between the client and community resources, including department staff, City, State, and Federal social services agencies.

• Conducts visual inspection of the physical condition of the client’s house to identify factors that may be detrimental to maintaining a safe, healthy and comfortable living environment.

• Assists with the facilitation of the health center process by greeting clients and making sure that they are registered to be seen.

• Assists with the planning, organizing, and implementing of community special events such as health fairs, workshops, etc.

• Reports on community outreach activities, including problems and concerns, as needed to the Program Administrator.

• Prepares written reports and maintains records of outreach contacts and activities.

• Updates information in the database from various data forms collected.

• Achieves monthly, quarterly, and annual enrollment goals, determined by yearly program funding.

• Maintains a good working relationship with all community members to ensure that the various programs they may support are viewed in a positive manner by the community.

• Continuously expands knowledge and understanding of community resources and services. Facilitates client access to community resources, including locating housing, food, clothing, transportation, and providers to teach life skills and relevant services.

• Document activities, service plans, and results in an effective manner while strictly adhering to the policies and procedures in place.

• Implements interventions for the CHW within the care plan established by the care team.

What You Need to Be Successful:

Education and Experience

• High School Diploma or equivalent (GED) is required.

• Two years of work experience providing outreach services. Experience should include writing reports and maintaining records.

Knowledge, Skills and Abilities

• Effective oral and written communication skills.

• Ability to establish and maintain effective working relationships.

• Ability to handle sensitive and confidential matters with discretion and tact.

• Ability to multitask at any given time while maintaining strong attention to detail.

• Highly effective critical thinking and interpersonal skills, with the ability to identify barriers and promote desired outcomes

• May be required to use a personal automobile while conducting official business. Must possess a valid Maryland Non-Commercial Class C or Commercial Class B Driver’s license (CDL) if required to drive.

• Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age-specific needs.

We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.