JOB DETAILS
Department: Women's Health Clinic
FTE: 1.0 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: In-Person
 

Purpose of this position: The Community Health Worker will be responsible for assisting patients and care team members across the continuum with a variety of care coordination activities, helping patients to navigate the healthcare system, understand and connect to HHS and community resources, eliminate barriers to care, and increase knowledge around self-management and health promotion activities.

RESPONSIBILITIES

• Provides care coordination, assistance with health system navigation, connection to community resources, elimination of barriers to care and the provision of education around self-management and health promotion activities
• Communicates and collaborates with patients, families, providers, and care team members to address patient needs and care plan
• Encourages and supports patients to make concrete steps toward promoting their health and managing their chronic illnesses
• Conducts needs assessments, health questionnaires, and screenings for patient population
• Offers appropriate suggestions and insights to providers, patients, and care team members for bridging barriers to goal achievement
• Reminds patients of appointments, assists with transportation and other barriers to making appointments, and attends appointments with patients when deemed necessary
• Adheres to department expectations around caseload, panel management, and referral management
• Works within his/her scope of work by referring patients to appropriate clinic, hospital, and community resources and supports them in accessing resources
• Utilizes electronic health records to inform providers and care team members of patient goal progress and documents all care coordination, transition care, and health education activities
• Facilitates completion and submission of forms and paperwork, as trained
• Actively coordinates services, facilitates transitions of care across the continuum, communicates with care team members, and participates in interdisciplinary huddles, rounds, and/or care team meetings
• Provides patient education for health promotion, disease management, and self-management within the scope of service of the CHW and only when trained and delegated to do so
• Motivates clients and/or family to be active, engaged participants in their health, education, and self-sufficiency goals
• Coordinates, facilitates, and implements health promotion and self-management programs when directed
• Performs field visits at home and community sites, only if required and approved by your department
• Completes other duties as assigned (including grant-related activities), but only when trained and qualified to do so

QUALIFICATIONS
Minimum Qualifications:

• Completion of the Community Health Worker certificate program through an approved college or technical school in Minnesota. Employees must have this completed within 18 months of hire to maintain employment
• Unique Minnesota Provider Identifier (UMPI) will be acquired through the onboarding process, if not already acquired
• Driver’s license and proof of insurance, if field visits are required by your department
• Meets care coordination requirements as outlined by the Minnesota Department of Health or the Department of Human Services if working in a clinic that is seeking or has achieved Health Care Home or Behavioral Health Home certification

Preferred Qualifications:

• One year of experience working in any of the following: ambulatory care, care coordination, case management, or community outreach
• Working knowledge of various integrated systems of care in the community
• Experience in women's health 

Knowledge/ Skills/ Abilities:

Knowledge:

• Knowledge of care coordination and how to help patients navigate the healthcare system
• Understands the CHW scope of practice in MN and role within the health system

Skills:

• Ability to speak and write the English language in an understandable manner
• Strong communication skills, both verbal and written
• Strong skills in providing disease prevention/health promotion programs to patients with chronic conditions
• Excellent organizational, communication, customer service, and computer skills
• Ability to provide guidance to people with a wide range of cultural backgrounds, training, and experience
• Conflict resolution and interpersonal communication skills
• Strong problem solving, trouble shooting and decision making skills

Abilities: 

• Ability to work independently and as part of a team
• Flexible and willing to adapt to a changing healthcare environment
• Ability to set and maintain boundaries to work within role and scope of practice
• Ability to work in an environment with multiple distractions and interactions
• Ability to meet deadlines and achieve required outcomes