Community Health Worker Location: Middletown, NY, United StatesDate Posted: Dec 16, 2024 Share: share to e-mail Apply Now Save JobSaved Description Location: Middletown, NY Hours: M-F Rate of Pay: $21.63 OVERVIEW OF PRIMARY RESPONSIBILITES : The Community Health Worker (CHW) – Social Care Network Specialist plays a key role in advancing the New York State 1115 Medicaid waiver’s focus on addressing health-related social needs (HRSN). This role emphasizes conducting comprehensive HRSN assessments, connecting individuals and families to community resources, and coordinating services through Social Care Networks (SCNs). The CHW acts as a trusted bridge between healthcare systems, social care providers, and the communities served. PRIMARY FUNCTIONS : Health-Related Social Needs (HRSN) Assessments: - Conduct thorough HRSN assessments to identify barriers to health such as housing instability, food insecurity, transportation challenges, and lack of access to social services. - Use standardized tools and evidence-based practices to evaluate client needs and strengths. - Prioritize outreach to Medicaid members with complex needs or at high risk for poor health outcomes. Client Support and Navigation: - Develop personalized action plans based on HRSN assessment findings. - Provide direct support to clients in accessing community resources and overcoming systemic barriers. - Offer culturally competent education on available services and empower clients to advocate for their needs. Referral Coordination within Social Care Networks (SCNs): - Leverage SCN platforms (Unite Us) to initiate and track referrals. - Work closely with SCN partners to ensure timely and effective service delivery. - Monitor and document referral outcomes, ensuring clients' needs are adequately addressed. Collaboration with Healthcare Providers and Community Stakeholders: - Partner with managed care organizations (MCOs), healthcare providers, and community-based organizations (CBOs) to integrate social and healthcare services. - Facilitate communication between clients and medical providers, ensuring HRSN are addressed alongside clinical care. - Participate in care team meetings to share assessment findings and collaborate on care coordination. - Field-based role involving home visits, community outreach, and coordination with local agencies. Data Collection and Reporting: - Maintain accurate and detailed records of HRSN assessments, client interactions, and outcomes. - Analyze data to identify trends, service gaps, and areas for improvement in addressing HRSN. - Contribute to the evaluation of the SCN’s impact on health outcomes and the 1115 waiver goals. Community Engagement and Capacity Building: - Build partnerships with community leaders and organizations to expand access to resources. - Educate stakeholders about the importance of HRSN and the integration of social and healthcare services. - Assist in the development of educational materials to support client understanding of available services. ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT: N/A QUALIFICATIONS AND ATTRIBUTES : + Strong organization skills with accurate attention to detail + Excellent communication skills and the ability to multi- task + Knowledgeable and skilled in understanding and educating others on healthcare, healthcare systems, healthcare reform, pathways to care, and communication with community providers. + Experience conducting assessments, especially related to HRSN, in healthcare or social service settings. + Familiarity with Medicaid programs, 1115 waiver initiatives, and SDOH frameworks. + Excellent interpersonal, communication, and problem-solving skills. + Proficiency with electronic data systems and referral platforms. + Excellent verbal, written and presentation skills. + Bilingual or multilingual abilities preferred. EDUCATION AND EXPERIENCE : + High school diploma or equivalent required; associate or bachelor’s degree in social work, public health, or a related field preferred. + Completion of a recognized Community Health Worker training program preferred. PHYSICAL CHARACTERISTICS : + Must be capable to sit or stand in front of a computer for long-periods of time + Able to work in open space floor plan + Must be capable to move throughout work day and work with people in the community (people we serve and providers) + Work alongside co-workers within 3 feet + Occasional lifting of > _25+pounds EEO, AAE M/F/D/V. Share: mail Apply Now