DescriptionCompany : Oak Street HealthTitle : Community Health WorkerRole DescriptionThe purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient's advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High levels of flexibility, problem solving, strong communication, and an intimate knowledge of the community served are required to be successful. CHWs work closely with MSWs to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. CHWs are expected to work within their scope of practice. There is no expected clinical license for this position.Check out this for a sneak peek into the life of an Oak Street CHW!Core Responsibilities Include :Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needsManage patient referrals defined by the care team & collaborate with the Medical Social Worker on action planFacilitate communication between all identified parties involved in patients' care as needed (., family members, caregivers, medical providers, community-based organizations)Form relationships with and build an inventory of local community organizations that may benefit our patientsConnect patients to state and local community resources related to housing, transportation, food, and activities of daily living among other social and physical barriers to health.Assist patients with completion of applications for accessing eligible benefits and resourcesPromote goal setting and achievement to improve patients' quality of life and self efficacy with patients. Goal definitions are agreed upon by the care teamMeet with patients in patient-centered and patient-preferred locations (., Oak Street Health center, patient's home, external medical provider facility, community setting)Community Health Workers should plan to spend about half of their time outside of the center in patient-centered locations; this means having access to a reliable means of transportation to do so is requiredDrive engagement with high risk individuals (., completed specialty appointments, adherence to Post Discharge Visits) may include accompaniment to appointmentsComplete referrals to organizations and agencies as neededDeliver culturally appropriate health education in the areas where OSH has provided competency training to the CHWSupport care team decision making through participation in interdisciplinary team meetingsDocument interactions with patients in electronic medical record in a timely manner while maintaining HIPAA standards and confidentiality of protected health informationManage time, set priorities, work independently, and collaborate effectively with an interdisciplinary medical teamOther duties as assignedWhat we're looking forWe're looking for motivated individuals with :Required :Minimum of 1 year of experience in healthcare, community-based, case management, or social service environmentStrong oral and written communication skillsAbility to manage multiple priorities while maintaining a positive attitudeDedication to serving the community and building meaningful relationshipsProficient computer skills (. Windows, GSuite, Microsoft,Access to reliable transportation and ability to travel throughout the community to various locationsUS work authorizationStrongly Preferred :Fluency in language that is commonly spoken in the community when necessary. Most often this will include Bilingual English / SpanishExperience working on multidisciplinary teams with organizations, agencies, patients, and community membersKnowledge of community resources and resource navigationPreferred :Community Health Worker certification or Associates or Bachelors in a related field is a plusExperience utilizing electronic medical record systemsOther SkillsA problem-solving orientation and a flexible and positive attitudeSomeone who embodies being 'Oaky'What does being 'Oaky' look like?Radiating positive energyAssuming good intentionsCreating an unmatched patient experienceDriving clinical excellenceTaking ownership and delivering resultsBeing relentlessly determinedWhy Oak Street Health?Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission.Oak Street Health Benefits :Mission-focused career impacting change and measurably improving health outcomes for medicare patientsPaid vacation, sick time, and investment / retirement 401K match optionsHealth insurance, vision, and dental benefitsOpportunities for leadership development and continuing education stipendsNew centers and flexible work environmentsOpportunities for high levels of responsibility and rapid advancement
