Community Health Worker
Company: Oak Street Health Inc.
Location: Fort Worth
Posted on: June 25, 2022
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Job Description:
Company: Oak Street Health
Title: Community Health Worker
Company Description
Oak Street Health is a rapidly growing company of primary care
centers for adults on Medicare in medically-underserved communities
where there is little to no quality healthcare. Oak Street's care
is driven by a unique model that is based on value for its
patients, not on volume of services. The company is accountable for
its patients' health, spending more than twice as long with its
patients and taking on the risks and costs of their care. For more
information, visit http://www.oakstreethealth.com.
Role Description
Oak Street Health takes a team-based approach to providing
outstanding patient care. Our Care Teams, consisting of a Provider,
Nurse, MA and Medical Social Worker, build individual relationships
across a panel of 500-800 patients. The Care Team is responsible
for delivering excellent, high-touch, primary care, and
coordinating the care of our patients throughout the healthcare
delivery system. We have support team members that assist with
specific tasks and/or cases such as Behavioral Health Specialist
and Care Coordinators.
Community Health Workers are an important part of our Care Teams. A
Community Health Worker is a patient's advocate or liaison when in
a community setting. Building trust and promoting encouragement are
two of their key objectives. High levels of flexibility, attention
to detail, and problem solving are required to be successful. You
will be expected to build relationships with Oak Street Health
patients, assist with managing low risk members' care plans,
perform proactive phone and in-person outreach to our members based
on their care needs, support Care Team decision making, participate
in weekly care team meetings, and coordinate clinical and
complementary services needed to provide a high quality health care
experience from Oak Street Health. Community Health Workers will
report to the Center Medical Social Worker. A Community Health
Worker is expected to work within scope of practice. Scope of
practice will be determined by the state licensure the individual
holds. There is no expected clinical license for this position,
thus it is expected that the scope of practice will be limited to
the core responsibilities listed below.
Core Responsibilities Include:
* Manage low risk referrals defined by care management program
(Medical Social Work) & collaborate with social worker on action
plan
* Develop trusting relationships with patients by providing support
and advocacy to help achieve health goals
* Meet with patients in patient centered and patient preferred
locations (e.g., center, facility, home, community setting)
* Promote goal setting with patients enrolled in care management.
Goal definitions are agreed upon by the care team
* Drive engagement with high risk individuals (e.g., completed
specialty appointments, adherence to Post discharge visits) may
include accompaniment to appointments
* Assist completion of applications to access eligible benefits
* Wellness checks in home, participate in remote monitoring program
education on individuals with specific health conditions
* Provide approved health screenings, referrals and information
* Deliver health education presentations in the areas where OSH has
provided competency training to the CHW
* Facilitate communication between all identified parties on behalf
of the patient involved in care, as needed (e.g., family members,
care givers, medical providers, community-based organizations)
* Maintain HIPAA standards and confidentiality of protected health
information
* Document interactions with patients in medical record
* Community Health Worker is expected to work within scope of
practice and should plan to spend about half their time outside of
the center (in the community, facilities, or at patient homes);
this means having a mode of transportation to do so is required
* Other duties as assigned
What we're looking for
We're looking for motivated individuals with:
* A problem-solving orientation and a flexible and positive
attitude
* Minimum of 1 year of experience in healthcare, community-based,
or social work environment is preferred
* Community Health Worker certification is a plus
* Experience utilizing electronic medical record systems
* Knowledge of community resources and resource navigation
* Experience working on a multidisciplinary team preferred
* Proficient PC skills
* Fluency in language that is commonly spoken in the community is
necessary. Most often this will include Bilingual
English/Spanish
* Travel may be required
* US work authorization
* Someone who embodies being "Oaky"
What does being "Oaky" look like?
* Radiating positive energy
* Assuming good intentions
* Creating an unmatched patient experience
* Driving clinical excellence
* Taking ownership and delivering results
* Being scrappy
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at the
forefront of a revolution in healthcare, as well as:
* Collaborative and energetic culture
* Fast-paced and innovative environment
* Competitive benefits including paid vacation and sick time,
generous 401K match with immediate vesting, and health benefits
Oak Street Health is an equal opportunity employer. We embrace
diversity and encourage all interested readers to apply to
oakstreethealth.com/careers.
Keywords: Oak Street Health Inc., Fort Worth , Community Health Worker, Healthcare , Fort Worth, Texas
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