Community Health Worker (San Diego)

Community Health Worker :

The CHW will work in the community in a variety of settings, including patient homes, medical offices, inpatient facilities (such as hospitals and EDs), community-based organizations, public facilities, homeless shelters, and more.

• The CHW will : advocate for patients; empower patients to become effective advocates for their own needs and the needs of their families;
• identify and support patients overcoming obstacles related to treatment plans and other medical, social, and / or behavioral health services;

help patients secure necessary and appropriate medical, social, and / or behavioral health services. The Prospect Community Health Worker (CHW) will assist patients with complex medical, social, and / or behavioral health needs access community-based resources, and fully utilize personal / community support systems, to improve life circumstances leading to better health outcomes.

The CHW is responsible, along with other members of the Medical Management Team, for contributing to the clinical, quality, financial, and patient satisfaction outcomes.

Job Responsibilities / Duties :

Acts as a peer support for enrolled patients, building relationships with individuals and their families and advocating for patients as they navigate the medical system.

Assist members in identifying their goals (health, behavioral, social, and provide assistance and support in achieving those goals.

Attends and contributes to Team Conferences regarding care to / for specific patients.

Coordinates with care management and other members of interdisciplinary team to report on patient progress and confer if interventions require modification.

Engages with patients and families across care settings such as the transition from hospital to home.

Assists the patient in addressing the following : Health-Related Social Needs / Social Determinants of Health. HRSN / SDOH Include : housing insecurity / homelessness, substandard housing conditions, food / nutrition, transportation, utilities, exposure to violence, social isolation, language / communication barriers, cultural isolation, parenting / educational skills, elder care, parent-child conflict, family relations issues, recreational activities, and more.

Health, Behavioral Health, Substance Use : Including : assisting with medical appointments (scheduling, confirmation, reminders, transportation, follow-up), effective engagement with primary care, medical assistance, insurance enhancements, prescriptions, medical equipment, dental care, chronic condition management including health education / prevention, barriers to treatment-plan-compliance including medication adherence, facilitating services to address BH / SUD needs of patient and / or family members across all levels of need (mild / moderate / severe) from treatment to recovery.

Qualifications :

Minimum Education : High School Diploma or Equivalent

Minimum Experience : Lived experience this includes any combination of cultural background, lifestyle, health condition factors - similar to that of patients attributed to the Health Homes Program.

Knowledge of and experience navigating medical, social, and / or behavioral health systems. Minimum of one (1) year of experience in community / outpatient settings preferred.

Bilingual (Spanish / English, Portuguese / English) preferred.

Req. Certification / Licensure : None.