The Opportunity

• The Community Health Worker (CHW) is responsible providing support to patients and families as part of Rhode Island Primary Care interdisciplinary care team within a primary care setting. CHWs will be assigned to work with their assigned primary care and pediatric practices to coordinate care for a patient’s social determinant of health (SDOH) needs. The RIPCPC Community health workers are an integral part of the care management team. In this role, assessment of patient bio-psychosocial strengths and challenges will be integral in supporting their healthcare needs and conditions. As a CHW you will coordinate with RIPCPC interdisciplinary care teams and community-based organizations to bridge the gap in services for our patients.

What you’ll do

• Complete initial assessments with the patient and/or family member to identify specific areas of patient strengths and barriers to care.
• Work to build a trusting relationship through continued rapport building techniques.
• Empower patients to manage their care through motivational interviewing and goal setting.
• Coordinate and collaborate with interdisciplinary care team members at RIPCPC, family members, and healthcare providers.
• Advocate for patients and families to ensure the patients needs are represented and supported by their healthcare team.
• Documentation in EPIC and native electronic medical record of physician practice.
• Assist with setting up social services through a community-based organization including:
  • Food assistance o Housing transitions
  • State and federal applications, insurance, and benefits
  • Long term care resources
  • Child and family resources
• Understanding social determinants of health (SDOH) and how they effect a patient’s health.
• Collaborate with Behavioral health Clinicians as needed for patient care and improving patient outcomes.

Who you are

• Qualifications:

  • CHW State course completion.
  • Bachelor’s degree in a health-related field, social work, health care administration.
  • Background in managing populations with complex medical and behavioral needs.
  • Experience in community health setting or public health.
  • Proven knowledge of Medicaid population.
  • Experience in documenting in an electronic health record.
  • Ability to organize and manage a caseload and assist with patient navigation.
  • Full COVID 19 Vaccination is required.

  Skills and Training:

  • Ability to work independently and collaboratively to achieve goals.
  • Highly self-motivated and organized.
  • Proficiency with computer skills (i.e., Microsoft word, Excell and Access, PowerPoint, Web-based applications.)
  • Demonstrated ability to work both independently and as an effective team member.
  • Demonstrated experience working with diverse populations.
  • Exercise sounds judgement and decision making.
  • Excellent interpersonal skills.
  • Excellent verbal and writer communication skills
  • Bilingual-Spanish speaking a strong asset, although not required.

  Education

  • High School Diploma/ GED
  • Bachelor’s Degree (Preferred) License/ Certification
  • Driver’s License
  • CHW Course Completion

Benefits

• Health benefits include medical, dental and vision
• Employer Paid Health Reimbursement arrangement that reduces the portion of the medical plan deductible that you are responsible for
• 401K matching upon eligibility
• Long-term disability
• Paid Time Off PTO
• Life insurance - Company paid basic policy and optional supplemental plans

Physical Demands: Mostly sedentary work duties require exerting up to thirty pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods.