Job Description
Job Summary
The Community Health Worker is a member of the community health team; an interdisciplinary team comprised of Community Health Workers, In- Home team nurse care managers, schedlers, resource specialists, health navigators and nurse practitioners. Works closely with the core team members to support patients who are dealing with complex medical, behavioral health and/or substance issues as well as social determinants of health, and require a more intensive home and community-based intervention.
Duties and Responsibilities
Used to assist the Integra In-Home patients in securing community resources identified through the SDOH screening and in-home assessment.
Acting as a liaison between the patient and the community resource.
Would be responsible for the SDOH screening and assessment of the patients needs to remain in the community.
Assist with the management of the newly implemented chronic condition disease manageme...