Community Health Worker

GENERAL REQUIREMENTS * Work in collaboration with the Care Coordination/Care Management and Population Health teams to identify hard to reach patients with social and health care needs and meet the patients where they are, physically, mentally, and emotionally * Build trusting relationships with patients * Build and maintain positive working relationships with providers, nurse case managers, agency representatives, supervisors and office staff across health and social service organizations * Assess/address social determinants of health and eliminate barriers to care including through the coordination and/or delivery of transportation services and deliveries, home visits, and community contacts.

* Must be willing to work flexible schedules including some evenings and weekends as necessary * Help patients utilize resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible * Coach and support patients as they work toward health goals * Create connections between vulnerable populations, health care, and community resources * Assist clients in accessing health related services, including but not limited to obtaining a medical home; providing instruction on appropriate use of the medical home; and overcoming barriers.

* Assist with care coordination and care transitions for patients in the community * Assist patients with enrollment in programs and benefits for which they are eligible * Advocate for vulnerable populations within the health care system and the community at large * Effectively work with people (staff, clients, doctors, agencies, etc.) from diverse backgrounds in reducing cultural and socio-economic barriers between clients and institutions * Continuously expand knowledge and understanding of community resources, services and programs provided; human relations and the procedures used in dealing with the public as part of a service or program; procedures and resources available to handle new, unusual, or different situations * Perform duties in a prioritized, organized, and orderly manner to maximize efficiency and productivity.

* Participate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services.

* Support current incentive, regulatory, and certification requirements (such as Meaningful Use, PCMH and UDS) through documentation, participation in initiatives, and other activities as directed.

* Other duties as assigned Required Skills CERTIFICATIONS AND LICENSURES * BLS Certificate from American Red Cross or American Heart Association * Clean driving record with current NC driver's license and approved by corporate vehicle insurance vendor for driving privileges * Community Health Worker Certification preferred