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Community Health Worker - Joseph and Mary's Home

Sisters of Charity Health System
Cleveland, OH Full Time
POSTED ON 1/14/2025 CLOSED ON 4/10/2025

What are the responsibilities and job description for the Community Health Worker - Joseph and Mary's Home position at Sisters of Charity Health System?

Joseph & Mary's Home, a ministry of the Sisters of Charity Health System is recruiting for a full-time Community Health Worker (CHW) .

Position Summary

The Community Health Worker (CHW) is responsible for assisting referred persons with accessing medical respite and assisting residents and alumni with addressing the social determinants of health through the provision of care coordination services, working closely and collaboratively with case management and peer support staff. The CHW reports to the Registered Nurse.

Job Responsibilities

  • Establishes positive, supportive relationships with residents and alumni of Joseph's Home and Mary's Home through trauma-informed care, Motivational Interviewing and Critical Time Intervention;
  • Connects all residents to a medical home, encourages residents and alumni to access primary and preventive care and assists them with overcoming barriers to receiving community-based medical and behavioral health services;
  • Follows program alumni for first 90 days following exit, as assigned through discharge plan;
  • Facilitates resident health management by assisting in scheduling appointments, arranging transportation, and accompanying the resident to appointments, as assigned;
  • Works with RN to maintain inventory of medical supplies, organized clinic spaces, and medication carts;
  • Under the direction and oversight from the RN, assists with documenting overall medication plan for each person; enters the medications in the electronic medical record and keeps it updated.
  • Under the direction and oversight from the RN, administers the self-administration of medication (SAM) tool and continuously engages, educates and encourages residents to improve their medication adherence, with the goal of every resident reaching 100% on the SAM tool prior to exiting the facility.

Medical Respite Program Intake

  • Assists RN with verifying eligibility for medical respite program;
  • Serves as trauma-informed front door to medical respite services through respectful resident screening, whether in person or over the phone, as assigned by the RN;
  • All other duties as assigned to support access to medical respite.
  • Pathways Community Hub Care Coordination

  • Assists all eligible participants to enroll in the Pathways Community HUB;
  • Assesses care coordination needs and establishes care coordination goals with each resident;
  • Assists residents and alumni with health management through individual and group health education and support with self-monitoring (i.e., checking blood glucose levels);
  • Collects and shares information with respite care team members, and documents information in the resident's chart in EMR and CCS in a timely manner;
  • Assists residents with obtaining appropriate Medicaid or other affordable health insurance coverage;
  • All other duties as required to ensure compliance with the Pathway Community HUB.
  • Professional Responsibilities :

  • Upholds the mission and values of Joseph & Mary's Home and the Sisters of Charity Health System;
  • Understands and follows HIPAA requirements; preserves the confidentiality of resident information, and honors residents' personal and property rights;
  • Maintains Certification in good standing as a Community Health Worker through the State of Ohio Board of Nursing.
  • Minimum Qualifications

  • Must have experience working within a model of trauma-informed care or a desire to do so;
  • Must work collaboratively and effectively within a team;
  • Must have an understanding of principles of equity and inclusion and experience in the practice of these principles;
  • Must have an understanding of factors related to housing instability and the relationship between stable housing and positive health outcomes;
  • A High School diploma is required;
  • Must have a current Community Health Worker Certification through the State of Ohio Board of Nursing, or will obtain the Certification within 12 months of employment;
  • A minimum of 3 years' experience in housing, human services, healthcare or other relevant field;
  • Possesses a working knowledge of medical terminology, and able to demonstrate proficiency with Microsoft applications and database software systems;
  • Possesses excellent interpersonal skills and the ability to network with outside providers;
  • Possesses a valid Driver's License, with clear driving history;
  • Available to work a 40-hour week.
  • Preferred Qualifications

  • Experience using the Pathway Community HUB's Care Coordination Software system;
  • Experience working with people experiencing housing insecurity or homelessness.
  • Qualified candidates should submit a cover letter and resume with the online application.

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