Employment Type:

Shift:

Description:

Provides tailored health education social support connecting to health care and community based resources and advocates for patients and their family with a focus on specific diseases conditions and populations that experience health disparities. Delivers and facilitates evidence based programs and interventions to prevent and improve management of chronic disease. Uses a specialized protocol and curriculum to provide assessments and education to patients and program participants. Assists with data collection and interpretation to understand patient and intervention-related outcomes. Plays a key role in building individual capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach health education informal counseling social support and advocacy. Works collaboratively with other health care and community-based providers to improve patient health outcomes and reduce racial ethnic and economic disparities in those outcomes.

ESSENTIAL FUNCTIONS: Our Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions. Work Focus: Provides high-value services to patients with complex social and health needs in clinical and community-based settings. Delivers evidence-based programs and interventions with fidelity to patients assigned to their caseload. Assists with identifying engaging and enrolling individuals that may be eligible for CHW interventions and evidenced-based programs. Conducts and interprets assessments to learn patients social needs reduce barriers and connect to appropriate resources and services. Facilitates access to health and human services for patients through in-person interactions and coaching. Provides culturally appropriate support Community Health Worker II and follow-up to encourage behavior change and achieve health-related goals. Shares insight and expertise such as patients customs/beliefs with providers and works collaboratively to promote culturally appropriate services.

Process Focus: Utilizes multiple system applications for caseload management data collection and reporting. Uses electronic health record and intervention-specific protocols for care coordination and documentation. Uses applicable resources services and processes to complete relevant referrals and applications in a timely manner. Incorporates basic knowledge of Trinity Health policies practices & processes to ensure quality confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Collaborates on performance improvement activities as indicated by program outcomes & patient experience.

Communication: Employs effective & respectful written verbal & nonverbal communications; Develops an environment of mutual confidence & trust through collaborative relationships; Effectively communicates goals standards program expectations service performance & how the work serves Trinity Health objectives. Serves as a liaison between health care and social service providers and patients to improve communication and coordination of services. Provides support to patients via phone and in-person interactions at the patients home in the community or at the clinic setting.

Environment: Performs work in a caring collaborative & safe manner that complies with regulatory standards. Maintains a safe functional & organized workspace environment. Stewards productive use of resources (e.g. people financial equipment supplies materials) to achieve assigned commitments experiences & quality standards. Accountable for continuous role-based self-development & leadership growth. Supports the professional growth of team members. Self-monitors & initiates corrections and/or seeks assistance or guidance when needed. Maintains a working knowledge of applicable Federal state & local laws/regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.

MINIMUM QUALIFICATIONS:

• High school diploma or GED
• Must have at least one year of experience in facilitating referrals and community resources
• health system navigation and/or health-related education/intervention to individuals and groups with diverse backgrounds.
• Demonstrated lived experience (such as experiencing poverty food insecurity housing instability substance use etc.) and/or cultural background of the patient community in which this position will work in and/or with.
• Specialized training/certification or demonstrated substantive knowledge in a specialty track and/or evidence-based intervention (e.g. asthma diabetes behavioral health gerontology etc.).

Additional Qualifications (nice to have): Maintains CHW Certification per Trinity Health guidelines and/or State sanctioned guidance.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.