Community Health Worker - Skid Row
Core
Support members with complex medical and social needs, specifically focusing on unhoused populations in Skid Row, by managing caseloads, developing care plans, and connecting patients to medical and social services.
Role type
Community Health Worker (CHW)
Builds
Care plans and patient engagement for unhoused and high-need populations
Domain
Healthcare + Social Services
Deliverable
client delivery
Required skills
Case management, patient outreach, care plan development, advocacy, bilingual communication (English/Spanish), driving and transportation management, documentation in case management software
Preferred skills
Experience with CalAIM populations (homelessness, SMI/SUD, incarceration transition), working outdoors, self-management coaching
Responsibilities
Complete assessment forms and develop care plans with patients and clinical teams; Coach patients to minimize health risks; Accompany members to medical and social services appointments; Connect members to programs addressing barriers to care; Document encounters in designated systems; Engage in street outreach to enroll patients into the ECM Program
Seniority
Mid-level, hands-on IC