Employment Type:

Shift:

Description:

SUMMARY:

Serves as a bridge between the health system and patients particularly patients with Medicare and/or Medicaid and patients with identified social needs. Works to promote maintain and improve health and well-being through

informal support and counseling to their patients. Uses culturally appropriate outreach support and navigation to help patients access health care and address identified social needs. Plays a key role in building individual capacity

by increasing patients health knowledge and self-sufficiency through a range of activities such as health education goal setting motivational interviewing and advocacy. Works collaboratively with other healthcare team 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: Delivers high-value services to patients such as coordination of care accompaniment to appointments and outreach in clinical and community-based settings. Works with an assigned patient caseload to

provide support advocacy and referrals to community-based services. Assesses patients for social needs and barriers to available resources and services. Helps patients navigate and gain access to appropriate health

care/social services and other community resources. Provides basic education regarding health promotion to increase understanding and encourage adopting healthy behaviors. 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 embedded tools for care coordination and documentation. Uses applicable

resources services and processes to complete relevant referrals and applications in a timely manner. Collaborates on performance improvement activities as indicated by program outcomes and patient experience. 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.

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 providers and patients to improve communication and coordination of services. Provides support

to patients via phone and in-person interactions at patients home community or 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. Responsible 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

• Completes CHW training/certification within 6 months of employment.

• At least one (1) year of community involvement experience including volunteer experience.

• Must complete CHW training/certification within 6 months of employment.

• 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.

Additional Qualifications (nice to have)

• Maintains CHW Certification per Trinity Health guidelines and/or State sanctioned guidance.

• Physical & Mental Requirements & Working Conditions

• Indirect/ Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate healthcare

• services.)

• Frequent clinical / patient facing work environment.

• Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit

• conditions; may encounter occasional variable external environmental conditions.

• Includes occasional lifting up to 30 pounds unassisted frequent travel & use of computer; Includes continuous

• sitting & may require occasional extended periods of continued walking standing stooping bending pulling & pushing.

Direct Healthcare & Indirect / Support Healthcare Services: must be able to:

Adapt to frequent interruptions shifting priorities & stressful situations; Attend to tasks until complete understand & relate to complex ideas & concepts & be able to remember multiple tasks & regimens extending over extended periods of time & work on concurrent tasks / projects.

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.