Community Health Worker

SUMMARY

• The Community Health Worker (CHW) is a critical member of our pediatric care team and integrated behavioral health program. Under the supervision of a licensed behavioral health clinician, the CHW works with an interdisciplinary team alongside primary care providers (PCPs) and behavioral health clinicians to provide navigation and support to patients seeking resources for social or behavioral health needs. In this role, the CHW will engage children and families to provide medical and behavioral health needs, health education, and care coordination to address care gaps. Additionally, the CHW will navigate school-related concerns and act as a liaison with local schools, collaborating closely with parents and families to ensure comprehensive support for the child’s well-being. This Community Health Worker role will be a full-time position, working part time with two pediatric offices: Bald Hill and Waterman pediatrics. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.
• The core
• Success
• Factors include: Instill Trust and Value Differences
• Patient and
• Community
• Focus and
• Collaborate
• RESPONSIBILITIES: Conduct assessments with patients and caregivers, focusing on triage and support for those identified with social determinants of health (SDOH) or behavioral health needs, to coordinate care in collaboration with primary care providers and behavioral health clinicians. Provide guidance and support to families in addressing school-related concerns, including attendance, academic performance, and behavioral issues. Act as a liaison between families and local schools, facilitating communication and collaboration to support the child’s educational and behavioral health needs. Engage and maintain trusting relationships with patients and caregivers to monitor and support emerging behavioral or social needs. Assist in developing and implementing goal setting, goal, and action planning, promote adherence to care plans, and identify and overcome any potential barriers. Collaborate with multiple community-based providers to establish connections with resources to maximize patient health outcomes. Promote continuity of care through ongoing collaboration with patients, caregivers, PCPs, BHCs, and other care team members. Support referral processes and assist families in accessing and connecting to appropriate services for patients’ behavioral and developmental health needs. Identify and build relationships with community resources, such as community-based mental health providers, Early Intervention, schools, and other local service providers to increase capacity for collaboration. Assist families in addressing health-related social needs, such as health insurance, food, clothing, housing, entitlement and government assistance programs, and other appropriate community resources and services. Provide education on screening and treatment for emotional, behavioral, and developmental needs. Participate in interdisciplinary care conferences with primary care providers and other care management teams to develop an individualized plan of care. Perform other job-related duties as assigned.