Community Health Worker Behavioral Health - Youth

Serve as a liaison between health and social service community to facilitate access to services and improve the quality and cultural competence of service delivery. Build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy. Improve Missourians health by providing a connection between health systems and community resources, as well as education on how to reduce behavioral health risk factors.

Essential Functions Job Specific

Facilitate appointments for patients by arranging, coordinating, and facilitating transportation resources

Follow up on appointments or instructions from the healthcare team by making home visits, meeting the participant in a community setting, and/or phone communication

Communicate with Primary Care team about barriers to self-management noted during visits

Promotes wellness by providing culturally appropriate health information and education to patients

Encourage patients to make steps toward promoting their health and managing their diseases or conditions

Advance patients health literacy related to their condition

Assist with medication management and adherence through the direction of the primary healthcare team

Assist in identifying and obtaining clinical, social, and/or community services and resources for patients

Assist with post-hospitalization or visits by attempting to locate patients that providers were unable to reach

Communicate with patients, caregivers, and families to assist in meeting patient goals and cultural practices

Communicates with patients on a scheduled basis both in person and via phone

Follow up with the team on referrals sent to other providers or social services and follow up with patients on outcomes and next step

Assists patients in navigating the MO HealthNet, Social Services, and community partnerships systems

Build relationships and interact with community partnerships, health, and social service providers

Provides a bridge between the Primary Care and FACT Community Partnership, helping to bridge social determinants of health impacting patients health and well-being

Participate in Primary Care team meetings

Document in the electronic health record appropriately and in a timely manner

Meet care coordination requirements as outlined by the MO Department of Social Services and MO HealthNet Division Primary Care Health Home initiative

Seeks appropriate professional development opportunities

Attains all agreed-to goals and objectives within specified time frames, as part of the Clinics overall mission

Responsibly follows the Clinic Exposure Control Plans for bloodborne and airborne pathogens, and transmissible conditions

Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment

Promotes effective working relations and work effectively as part of a team to facilitate the Clinics ability to meet its goals and objectives

Train and implement the PRAPARE assessment

Other duties as assigned