Community Health Worker

Website Duffy Health Center

Duffy Health Center is a patient-centered medical home, and every role requires functioning effectively using a team-based approach. The Community Health Worker (CHW) is responsible for examining, analyzing and evaluating facts and circumstances surrounding individual problems, situations, transactions and determining actions to be taken within the limits of standard or accepted practices for patient care and scope of practice.

This position will fulfill grant parameters that includes:

20 client caseload of people with qualifying behavioral health needs.

Outreach and engagement with Duffy’s behavioral health and psychiatry departments using a population health approach.

Position Functions

The statements contained in this job description reflect general details, as necessary, to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties, as assigned, including work in other functional areas to cover absences or provide relief, to equalize peak work periods or otherwise to balance the workload.

1. Conducts outreach, case finding and education services, to identify and target individuals who are homeless or at risk of homelessness and in need of health care and other services.

2. Provides support for strategies to facilitate referrals, transitions, and communication among and between systems of care on behalf of persons.

3. Visits with patients/clients to develop relationships, provide peer support, and promote harm reduction and self-care behaviors.

4. Screens for patient needs and assists patients/clients with access to health care and other services.

5. Assists patients/clients with navigating through systems of health care and community social services, providing assistance for barriers presented by adverse Social Determinants of Health (SDOH), such as using public transportation and escort to appointments as needed.

6. Assists clients with maintaining linkages with care providers and partner agencies, promoting adherence to medical regimens, plans of care, and achievement of self-management goals.

7. Promotes access to self-help groups, treatment programs, and other services in the community.

8. Completes CHW reports as required by funding sources. Reports may include daily encounter logs, grant data monthly submissions and summaries of interventions for medical documentation.

9. Participates in all relevant meetings, conferences, and committees as assigned or requested.

10. Assists Duffy Health Center program staff in educating hospital and community partners about unique needs and issues related to homelessness and access to health care.

11. Maintains a positive working relationship with coworkers, hospital staff, and community partners.

12. Maintains professional ethics, adheres to Duffy’s philosophy of care, complies with grant activities and program expectations, and abides Duffy Health Center’s Employee code of Conduct.

13. Maintains awareness and cultivates knowledge of comprehensive resources within the community on behalf of and in response to the health and human service needs of patients/clients.

14. Maintains a case load of patients/clients as required by the funding source, provide ongoing follow up to patients/clients for adherence with care plans, appointments, and progress towards goals.

Minimum Education and Experience

An applicant for this position requires a minimum of a High School Diploma or educational equivalent with one (1) to three (3) years of lived experience with homelessness, mental health, physical health and/or addiction issues.

Knowledge, Skills, and Abilities

A candidate for this position should have the following:

Knowledge of or willingness to learn:

· Local groups and organizations providing social services

· Microsoft Office programs, including but not limited to, Excel, Word, PowerPoint, etc,

· Issues related to homelessness and at-risk individuals, including mental illness, substance abuse, criminal history and physical and sexual abuse

· Protocols for handling crises and maintaining confidentiality.

Skill in:

· Motivational interviewing

· Peer expertise gained through life experiences

· Assessing and addressing the needs of persons who are homeless or at risk of becoming homeless

· Effective outreach to patients/clients who are struggling with physical and/or mental health issues, substance use issues, and/or homelessness or risk factors for homelessness

Ability to:

· Share personal story and hope for better health with patients/clients

· Navigate public transportation system and educate patients/clients in using public transportation

· Operate small office equipment, including a PC, scanner, and copier

· Interact effectively and appropriately with patients/clients and community contacts

· Maintain confidentiality of information

· Commit to the philosophy and mission of Duffy Health Center, which serves people experiencing homelessness or at risk of homelessness, and to the team-based approach as part of PCMH

For additional information, including reviewing the job description, please visit the Duffy Health Center Careers page.

Interested candidates should email or upload cover letter and resume.

Duffy Health Center is committed to creating and maintaining a diverse workforce. We actively encourage applicants from minority racial and ethnic backgrounds, as well as historically marginalized groups. This includes but is not limited to LGBTQ persons and people with lived experiences of homelessness or recovery.

To apply for this job email your details to