Community Health Worker - Transitions of Care

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

• Hybrid Work Environment - Must reside in Hawaii **
  
  
  

Pay Range: $47,500 - $88,000

Note: Individuals typically begin between the minimum to middle of the pay range

The Community Health Worker (CHW) promotes health and wellness by building trust, advocating for members, and ensuring timely, appropriate care. CHWs provide outreach, education, care coordination, and navigation support after facility discharge, working closely with the Transition Care Nurse to develop and implement transition plans. Responsibilities include assisting with follow-up appointments, educating patients and families, and communicating changes in condition to the nurse for proactive interventions. CHWs address health barriers, encourage treatment adherence, connect members to health and social services, and reinforce self-care plans. They deliver culturally sensitive education, conduct health risk screenings, and collaborate with healthcare and community professionals to improve outcomes, satisfaction, and overall well-being.

Minimum Qualifications

• Associate's degree and three years relevant healthcare/social services experience, or equivalent education/work experience.
• Demonstrated fieldwork experience
• Excellent communication skills, both written and verbal.
• Basic working knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
• Must have reliable transportation for in-person meetings with members at home or other locations.
  
  
  

Duties And Responsibilities

• Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure they receive appropriate care and services promptly.
• Conducts screenings for health risks and access barriers, referring to licensed clinicians as needed. Adjust workflows when necessary to provide optimal care for each situation or individual.
• Uses effective communication techniques, including motivational interviewing, to encourage members to attend regular provider appointments and utilize medical services that support their health.Engage with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination for members overall.
• Delivers comprehensive education, resources, referrals, and connections to health-related services within the community. Facilitates the introduction of new or underutilized programs and services to community members.
• Provides guidance to community members facing complex health cases in navigating healthcare systems. Responsibilities may include, but are not limited to, conducting home visits, accompanying individuals to appointments, and supporting community events as needed. Exercises sound professional judgment and adhere strictly to scope and licensure boundaries to ensure actions are taken in the best interest of the community member(s).
• Provides culturally appropriate health education and instructions on using existing health and social services, presenting information clearly and effectively.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.