UTHealth Houston
Location
Brownsville, Texas
The Community Health Worker provides one-on-one support to participants through home visits and phone calls to manage chronic care and lifestyle changes. They coordinate care with clinical teams and connect participants with community resources to improve health outcomes.
Requires a High School Diploma and a Community Health Worker certification from the Texas Department of State Health Services. Candidates must have at least 3 years of related experience in health, social work, or education.
This position is based in Cameron County. The Salud y Vida program provides chronic care management services to support participants in achieving better health outcomes. The Community Health Worker (CHW) plays a critical role in the program by offering one-on-one support to enrolled participants. The CHW will be assigned cases that require follow-up through home visits and phone calls. During these interactions, the CHW will guide participants implementing lifestyle changes, provide training on diabetes self-management practices, conduct screenings and referral to additional services, and collaborate with team members and clinic organizations to coordinate care. Position Key Accountabilities: Establishes and maintains rapport with participants, other members of the care team, community partners, and business staff. Responsible for conducting home visits to participants enrolled in the Salud y Vida program. Engages participants using motivational interviewing approaches to support behavior change, enhance intrinsic motivation, and empower individuals to achieve their personal goals. Gathers and documents demographic, insurance, health and social needs of participants to address barriers to care that may be affecting their medical condition, and all services provided Helps participants utilize resources in their area and assist with applications for eligible programs. Identify and build relationships with community organizations/resources. Educates participants and their families of clinical care team roles, expectations of patient-centered medical home (PCMH) activities to manage their health conditions, and the importance of preventative health care. Motivate participants to be active, engaged participants in their health care. Thoroughly documents encounter and service activities and follow up functions of resource distribution and referrals to resolve participants needs. Maintains a comprehensive understanding of community needs, resources, services and programs available to advocate for participants needs and requests. Continuously expands knowledge for professional growth and development to meet requirements to maintain State certification and skills competency that supports department goals. Works to support the onboarding of new CHWs. Act as liaison between clinical staff and new CHWs as needed. Plans, coordinates and facilitates applicable health and wellness programs. Contacts participants to schedule and/or reschedule program visits. Maintains confidentiality per HIPAA guidelines in regards to patient information. Adheres to all policies, procedures and standards within the organization. Performs other duties as assigned.
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