When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Summary: Under the direction of a manager or supervising social worker, the Community Healthcare Worker conducts resource assessments and collaborates with social work and/or medical staff to obtain community resources for community health center patients and families. Within developed area of expertise, provides orientation and ongoing training related to community resources to staff, medical providers, patients and families.
Job Description:Essential Responsibilities: Determines, independently or in collaboration with other staff, the resources that will optimally meet patients' and families' needs. Develops a multifaceted service plan to meet complex patients' needs. Acts as case manager to coordinate care with medical providers. Makes independent decisions about services to recommend to a patient/family and how to teach them to become self-reliant.Maintains a caseload with many patient contacts per day including phone calls, paperwork and face to face contacts. Provides timely and appropriate documentation in the online medical record. As part of the patient centered medical home, takes part in team meetings to coordinate care with medical and mental health providers.Advocates on the patient's behalf in written and verbal communications. Assists patients with such tasks as accessing entitlement programs and provides such information as requested by outside facilities who are helping the patient.Documents and advises supervisor and clinical staff of obstacles to obtaining services and potential ways to manage them. Develops liaisons with community and state agencies to facilitate negotiation of complex systems. Visits relevant agencies to broaden knowledge and relationships.Makes home visits as needed and appropriate. Masters specific areas of expertise such as domestic violence, childhood trauma, fitness or HIV and famil
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