SUMMARY

Reporting directly to the Client Services Manager, the Community Health Worker (CHW) will have significant responsibility in providing a variety of healthcare case management services to residents that reside in HANO communities. The CHW will assess resident’s needs, situations, strengths, and support network to determine their healthcare related needs and plans to improve their quality of life and overall health and wellness with the support of grant partners/stakeholders. This position is a grant funded, temporary appointment that will be in effect based upon the terms of the grant and funding availability.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The below statements are intended to describe the general nature and scope of work being performed by this position. This is not a complete listing of all responsibilities, duties and/or skills required. Other duties may be assigned.

• Provides direct healthcare case management services to HANO residents/clients that are referred for assistance.
• Responsible for outreach to HANO residents/clients and classifying their healthcare needs according to the case management triage criteria.
• Communicates with HANO residents/clients, families and providers to keep the entire team focused on meeting patient-centered care goals.
• Encourages and supports HANO residents/clients to make concrete steps toward promoting their health and managing their chronic illnesses (e.g., diabetes, asthma, vascular disease, etc.).
• Offers appropriate suggestions and insights to providers for bridging barriers to goal achievement.
• Communicates with a specified number of residents on a scheduled basis both in person (clinic or community) and via phone.
• Facilitates communication and coordinate services between providers and the clients/patients. 
• Works within his/her scope of work by referring residents to appropriate clinic resources as necessary.
• Utilizes Client Services Data Management system to track client success/opportunities for improvement.
• Creates care coordination and care transitions for clients (residents).
• Assists HANO residents/clients with enrollment in programs and benefits for which they are eligible.
• Encourages cultural competence among health care professionals serving vulnerable populations (consult with physicians at the client’s request).
• Advocates for vulnerable populations within the health care system and the community at large.
• Builds capacity within the community at large to address health issues.
• Creates connections between vulnerable populations and the health care system.
• Works with residents to establish a plan of action and referrals to healthcare service providers.
• Tracks client progress through consistent guidance and follow up.
• Advocates for and helps clients get resources that would improve their overall health and well-being.
• Researches and refers clients to community health resources.
• Responds quickly and appropriately in crisis situations.
• Ensures data quality, accuracy of client files and records, completes paperwork and maintains case management database.
• Develops outreach strategies to ensure residents are well informed about health related programs and services.
• Continuously expands knowledge and understanding of community resources and services. 
• Coordinates and monitors services, including comprehensive tracking of clients' compliance in relation to care plan objectives.
• Complies with all federal, state and local laws and applicable grant and HANO rules in the daily transmission of positional duties.
• Performs other duties as assigned.

Education and/or Experience

High school diploma or GED with at least 3 years of experience directly related to the duties and responsibilities specified (i.e. health/social services experience) is required. A degree from an accredited college or university in public health, social work, counseling, human/social services or a related field that is above the minimum education requirement may be substituted for experience on a year for year basis. A CHW Certification is highly desired and preferred.

Mandatory Requirements

Must have a valid Louisiana Driver’s License and meet the eligibility requirements for coverage under HANO’s fleet auto insurance.

EEO POLICY STATEMENT

HANO provides equal employment opportunity to all individuals regardless of race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, religion, physical or mental disability, sex (including pregnancy, childbirth, or related medical conditions), gender identity, or gender expression results of genetic testing, or service in the military or veteran status or any other status protected under applicable federal, state or local law. Discrimination of any type will not be tolerated.