Summary:

Conducts advanced outreach to the community. May coordinate charitable programs. Develops relationships with the community and community leaders.

Responsibilities:

• The Community Health Worker (CHW) provides culturally appropriate support and information for the patient and their families in a series of structured visits and follow-up phone calls in a variety of settings, including the patient?s home
• Knowledge of resources in the community and refers patients to them
• Assists patients in their understanding of how to use healthcare and social services and manage their Patient Health Record (PHR)
• Has a holistic and interdisciplinary approach to care management and health promotion
• Builds relationships with the patient, their families, healthcare providers, and the community
• Assist patients in finding and understanding how to use a Medical Home (patient?s primary choice of physician or clinic), pharmacy assistance programs, dental services, diagnostic services, transportation, behavioral health services, and other services as needed
• Refer patients to healthcare and social services and follow up on all referrals
• Follow care pathways (evidence-based steps) designed and selected to deal with patients? specific health and social concerns and problems
• Document activities through appropriate record keeping that follows the organization?s policies and procedures
• Maintains patient registry
• Consult with the administrative supervisor and clinical supervisor to coordinate activities and schedule, and to address identified health care needs of the patient
• Educate patients and their families in healthy lifestyles and promote health behavior change
• Encourage patient to set goals, identify barriers and challenges, and monitor their own conditions

Requirements:

• Bachelor's Degree preferred

Work Schedule:

7AM - 5PM

Work Type:

Full Time

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About CHRISTUS Health

CHRISTUS Health is an international faith-based, not-for-profit health care system based in Irving, Texas, with more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. CHRISTUS Health is made up of 50,000 Associates providing compassionate and individualized care at more than 600 centers, including community hospitals, clinics, long-term care facilities and health ministries. Sponsored by the Sisters of Charity of the Incarnate Word of Houston, Sisters of Charity of the Incarnate Word of San Antonio and the Sisters of the Holy Family of Nazareth, our mission is to extend the healing ministry of Jesus Christ to every individual we serve.

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