Community Health Worker

• Serve as a liaison between healthcare and housing professionals, including service coordinators, discharge planners, and community-based service providers.
• Maintain knowledge of all service lines: adult day health, personal care/private duty, service coordination, skilled care, and hospice.
• Collaborate closely with individual case managers to arrange services that align with each consumer’s preferences and community resources, including physicians, pharmacies, and other essential providers.
• Assist individuals in locating housing and obtaining necessary materials and supplies (i.e. social security card, ID, completing applications, etc.)
• Support consumers in accessing entitled benefits and resources.
• Provide exceptional customer service by addressing questions, concerns, and problems, ensuring daily needs are met.

Transition Coordinator aiding adults in moving to community-based living settings

Community Health Worker – Housing Transition Coordinator

Transition Coordinator aiding adults in their journey from long-term care to independence. Working on the ground in Northeast Ohio to provide support and assistance in housing and services.

• Direct patient support (60%): Must have access to reliable transportation
• Meet individually with patients (face to face or telephonic) to conduct intake interviews and identify non-clinical barriers
• May include home visits or community based visits based on severity of patient risk
• Coordinate support services or community resources for patients and provide basic health promotion education
• Facilitates patients adherence to treatment plans and help access affordable medication
• Develop and track measurable and time bound goals with patient
• Maintain HIPAA compliance
• Communicate importance of adherence to plan of care (developed by multidisciplinary team)
• Convey importance of healthy lifestyle choices (nutrition, exercise, stress management) and adverse health impacts of smoking, drinking, and drug use
• Communication with health care team (20%): Document interactions with patients and communicate regularly with Care team; Develop and maintain relationships with community resources to ensure coordination of care for patients
• Engage in multidisciplinary care team huddles
• Maintain positive relationship between OhioHealth and community resources
• Report how patients demeanor may impact treatment (crying, angry, etc)
• Document important information ancillary to medical treatment (stressors, children, domestic violence, involvement of partner, etc)
• Recognize and report signs of family violence, abuse, neglect, etc.
• Administrative tasks (20%): Maintain accurate and timely patient records
• Serve as community liaison between OhioHealth and local community agencies
• Answers phones/review messages, triages calls to determine needs and appropriate course of action
• Makes, facilitates, and tracks appropriate referrals
• Recognize differences in client populations and implications for identifying appropriate services

Community Health Worker supporting patients with health care obstacles at OhioHealth

Community Health Worker – Women's Health

Community Health Worker aiding women in overcoming non-clinical health care barriers at OhioHealth. Works with patients to coordinate support services and community resources.

Community Health Worker jobs in Ohio

See all jobs on JobTailor

Community Health Worker – Housing Transition Coordinator

Community Health Worker – Women's Health