Job Details

Assists with chronic care management by providing patient follow-up services and documenting patient outcomes, educating patients, and facilitating support groups. Acts as a mentor/coach to the less experienced Community Health Workers to assist in effectively training while going through the certification course. Works with patients both in person and telephonically to assess and address patient needs. Engages in intra- and inter-agency collaboration by coordinating patient care across health systems and navigating community resources and advocates for patients and community members. Provides community health education and outreach to inform individuals, families and local agencies about health and wellness service; assists with health fair events. Provides culturally aware social support and assistance with capacity building/motivational support. Acts as a health care coach including self-management support and goal setting. Tracks and maintains database of community outreach activit...Health, Management, Worker, Healthcare, Patient