A Brief Overview

This position is an advanced Community Health Worker responsible for working largely independently communicating with Care Transitions staff members, University Hospitals Patients, Providers and Community Health Worker Partnered Sites.

What You Will Do

• Working under minimal supervision in a professional environment, provide patient education, connect patients with available resources within Care Transitions, UH, and in the community to assist patients in identifying and overcoming barriers.
• Coordinates with patient to assess and identify community resources needed and assures appropriateness of referral source for patient
• Actively takes on complex care cases within CHW scope of practice.
• Actively interacts with Social Worker, RN, care team and Provider to facilitate patient care coordination.
• Active in the community in volunteer capacity and utilizes community connections to facilitate patient care
• Serves as a liaison between patient and patient’s family when appropriate and patient internal/external care team.
• Addresses missed, declined, and rescheduled visits with patient to assess for barriers to attendance of appointments
• Understands PHI and HIPAA and actively protects patient confidentiality and uses appropriate points of contacts and consenting
• Initiates and maintains ongoing communication between disciplines and referral sources connected to
• Communicates with Patients as they matriculate throughout the healthcare system and community.
• Demonstrates ability to collaborate among peers and system resources. Directly and promptly address patient concerns for internal/external resource supports. Advocates for patients needs professionally and is capable of representing the patient as an advocate.
• Is able to identify patient safety concerns and collaborate with Social Worker to address high level concerns.
• Refers only complex and/or clinical issues to Social Worker for follow up
• Demonstrates knowledge of patient history and provides high level over of patient history based on chart research.
• Manages daily, weekly assigned tasks, documentation, follow up calls and reports.
• Maintains professionalism and community health worker standard of professionalism and ethics in high stress situations and complex cases.
• Demonstrates interpersonal and communication skills, and emotional intelligence when working with patients/caregivers and clinicians at all times.
• Possesses proficiency in information technology and appropriate databases to facilitate timely completion of referrals, timely documentation and ensure resource connection.
• committees

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.