Under the direction of ECM Program Manager and the Community Health Worker (CHW), outreach and enroll clients in Enhanced Care Management. Additionally, CHW services can help clients receive appropriate services to individuals who are preparing to be released from jail. Providing basic housing assistance, patient tailored intensive case-management, developing a care/service plan; provide linkages to medical, psychiatric, social, educational, and other services as needed. They will also work with the Community Supports Program staff to provide team-based, patient-centered care management for homeless and at-risk of homelessness patients. As a Community Health Worker, shared lived experience with potential clients is strongly desired
BENEFITS
Free Medical, Dental & Vision
13 Paid Holidays +PTO
403( 403(B) retirement match
Life Insurance, EAP
Tuition Reimbursement
SEIU Union (if applicable)
Flexible Spending Account
Continued workforce development & training
Succession plans &growth within
QUALIFICATIONS/LCENSURE:
High School Diploma or GED
Bilingual English & Spanish (Preferred)
Familiar with working with managed care plans and / or Medi-Cal
Experience working with an Electronic Health Record system;eCWpreferred.
Must be able to work independently and alongside a team inassistingclients meeting their goals.
Available to work Monday-Friday, and some Saturday's when needed. Aswellevenings to program and clinical needs.
RESPONSIBLITIES
Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.
Promote and aid patient inestablishingself-management skills, linking them to resources in the community including public benefits and social services.
Crisis management and patient advocacy
Maintain patient file/record of appointments, services,follow upsand assessments based on DHCS requirements of ECM Program and SJCH requirements.
Liaison between client and community resources, medical / specialty offices and / or when support is needed.
Work with Medical providers, specialists, therapists, social workers etc. internally and externally, todeterminehealth priorities.
Empower, support, and educate clients in their re-integration process through mentorship.
Operate in a supportive role within an interdisciplinary health care teamutilizingan integrated care and treatment model.
Maintain outreach activity calendars and logs according to program standards.
Collaborate with primary care providers and behavioral health providers to provide health and behavioral interventionsthat willmaximize patient health outcomes.
Provides support, empowerment,educationand targeted case management services to clients.
Conducts assessments ofclient'shistory with medical/dental/behavioral health services, social and economic resources for purposes of linkage.
Educates clients with chronic illness about evidence-based standards of care and self-management of their chronic illness.
Linksclients toneeded services andfacilitatesaccess to community resources.
Advisesclients and othersregardinghealth care and other facilities available to them;assistspatients inutilizingservices; makes follow-up contacts whenrequired.
Attending regularly scheduled and impromptu meetings andmaintaincommunication with program team members andsupervisor.
Attendappropriate communityresource meetings and training, as assigned.
Work in collaboration with other departments and agencies whenrequired; and
Other duties may be assigned or may bemodifiedas business needsdictate.
St. John's Community Health is an Equal Opportunity Employer.
Numbers & Facts
Location
Gardena, CA
Skills
Behavioral Healthunmatched
Calendar Managementunmatched
Case Managementunmatched
Chronic Diseaseunmatched
Community Healthunmatched
Community Programsunmatched
Community Supportunmatched
Community and Social Servicesunmatched
Crisis Managementunmatched
Customer Relationsunmatched
Customer Support/Serviceunmatched
Customer Trainingunmatched
Engineering Change Managementunmatched
English Languageunmatched
File Maintenanceunmatched
Flexible Spending Accountsunmatched
Health Planunmatched
Healthcareunmatched
Healthcare Providersunmatched
High School Diplomaunmatched
Homeless Servicesunmatched
Life Insuranceunmatched
Managed Careunmatched
Medi-Calunmatched
Medical Officeunmatched
Medical Record Systemunmatched
Medical Recordsunmatched
Mentoringunmatched
Multilingualunmatched
Primary Careunmatched
Project/Program Managementunmatched
Psychiatry and Mental Healthunmatched
Quality of Careunmatched
Riskunmatched
Social Workunmatched
Spanish Languageunmatched
Standards of Careunmatched
Succession Planningunmatched
Training/Teachingunmatched
Tuition Reimbursementunmatched
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