BFT - Community Health Worker

Site: The General Hospital Corporation

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

General Summary/Overview:

A Community Health Worker (CHW) is a trusted member of the community who helps patients better access and coordinate their health care. CHWs have the skills and experience to understand what patients are going through and help them get through difficult times. CHWs are people who come from the communities they serve. CHWs act as caring neighbors to help patients address the social and medical problems that lead to poor health.

This position will support a new pilot program between Mass General Brigham and Walgreens Pharmacy. The MGB-Walgreens partnership aims to provide access to care in the community in which the patient resides regardless of PCP system affiliation and/or insurance status. The partnership includes three clinical care locations within three (3) Walgreens sites; Lynn Revere and Roxbury. Our goal is to bridge care between those in the community and the PCP office for those who have encountered problems with access for whatever reason. The three (3) clinic locations will be staffed with a provider (Nurse Practitioner/Resident/Doctor) Walgreens Pharmacist and a community health worker. This team can help to address all aspects of a community members care.



Bulfinch Temporary Service an affiliate of Mass General Brigham is committed to supporting patient care research instructing and service to the community. We place extraordinary value on being a diverse equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham we believe in equal access to quality care employment and advancement opportunities encompassing the full spectrum of human diversity: race gender identity sexual orientation ability religion ethnicity national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Principal Duties and Responsibilities:

Patient Engagement and Assessment

• Provide community health work services including access to benefits and appropriate programs for patients in need.
• Support community resource finding related to SDOH needs including food housing transportation and other areas as needed.
• Work with patients and providers to set goals for patient care and motivate patients to meet their health goals.
• Work with the patient to identify and help to address barriers to care.
• Provide culturally sensitive services to patients from different cultures.
• Help the patient to put systems in place in their environment to assist with the management of their care.

On-Site Operations

• Spread awareness and offerings to prospective and current patients of MGB by engaging with the community in a retail setting.
• Coordinate with the provider and Walgreens staff to set up equipment and materials at the start of clinic hours and to close out each shift.
• Troubleshoot operations and equipment with Walgreens staff when necessary.
• Adapt to changes in store layout and/or clinic structure and maintain quality of care.
• Communicate with the Operations Manager and/or Medical Director when stock is low for materials and equipment.
• Provide feedback and offer solutions to operational workflow issues as arise.
• Be nimble and flexible to navigate isolated circumstances. Must be able to deal with ambiguity.

System Navigation Health Coaching and Care Coordination

• Help to address any logistic barriers scheduling complications childcare needs etc. that would prevent a patient from returning to the clinic for follow-up care.
• Assist patients in organizing their records making follow-up appointments and filling their prescriptions.
• Help patients develop their plans for getting to various appointments for screening and diagnostic tests and treatment services.
• Provide education on specialty imaging or other appointments when needed for added support and advocacy.
• Follow up on key aspects of the patients care to assess the in-home barriers to compliance and engage patients in addressing their barriers.

Collaboration and Documentation

• Maintain regular communication with the patients providers through clinical messages in the electronic health record emails phone calls and case review meetings.
• Document each patient encounter in detail. Track benchmarks of progress in care including short-term goal completion along the way.
• Work with providers to reinforce health education messages the importance of follow-up care medication adherence routines of self-care etc.
• Refer to internal or external care management services when other issues are identified (i.e. food insecurity domestic violence etc.)
• Help patients fill out applications for community services such as Medical Assistance and SNAP (Supplemental Nutrition Assistance Program).
• Provide advocacy patient education and support in accessing community-based and hospital-based programs.
• Enter notes of intervention into the appropriate electronic health record.
• Work with medical interpreters to reach patients of other languages.
• Produce mid-year and end-of-the-year reports on program activities compiling data from databases and writing up case examples.

Qualifications:

• Preferred: prior experience as a community health worker health coach or outreach worker desired
• Required: High School Diploma or GED
• Candidate must be a local community resident with good knowledge of the resources available within the community
• A combination of education and experience may be substituted for requirements

Skills/Abilities/Competencies:

• Ability to perform client and community assessments; including but not limited to: Social Determinants of Health screenings.
• Effective verbal written and technical communication skills. Ability to apply culturally based communication and care.
• Ability to carry out written and oral instructions.
• Ability to exercise appropriate judgement in the application of professional services.
• Ability to provide support advocate for and coordinate care for clients.
• Ability to apply Public Health concepts and approaches.
• Self-motivated and possesses the ability to work both independently and as a team member in multicultural settings.
• Solid knowledge of the core competencies for SHWs as identified by the Massachusetts Department of Public Health
• Knowledge of outreach methods and strategies
• Knowledge of special topics in community health

Onsite

399 Revolution Drive

0

Temporary

Day (United States of America)

The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework