Community Health Worker
Core
Engage patients in primary care, facilitate telehealth visits, coordinate post-discharge care, and connect patients to community resources and transportation.
Role type
Community Health Worker (CHW)
Builds
Patient engagement in primary care model, care plans, and community resource utilization
Domain
Healthcare / Primary Care / Social Services
Deliverable
client delivery
Required skills
Telehealth facilitation, post-discharge follow-up, community resource navigation, transportation coordination, chronic condition coaching, patient motivation, data management, Microsoft Office proficiency
Preferred skills
Geriatric patient experience, primary care physician collaboration experience, bilingualism
Technologies
Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Responsibilities
Assist patients in homes with telehealth visits; link unengaged patients to physicians; assess and coordinate transportation for appointments; perform discharge phone calls within 24-72 hours; coach patients on chronic condition management; collaborate with nurses and social workers; attend meetings and report on patients
Seniority
Individual Contributor, entry to mid-level
