About this position
The candidate must live in the Charleston Area.
Qualifications:
- Trusted member and resident in the community being served.
- Interpersonal skills.
- Ability to express empathy.
- Counseling/health promotion skills.
- Ability to read and write.
- Knowledge of community resources.
- Understanding of professional conduct.
- Must have a valid driver's license.
Basic Function:
This position will assist high-risk patients with the care coordination in their home and community. There will be interactions with patients through weekly home visits, facilitation of communication between the patient and their provider.
- Help patients apply disease self-management plans in the context of their home and community.
- Provide emotional and social support.
- Link individuals with clinical, community and other resources and serve as a liaison between patients and the clinical care coordination team.
- Provide ongoing, flexible, accessible support for patients as their needs change.
Duties and Responsibilities:
- Works under direction of the health care team.
- Assists patients in self-management of chronic illnesses and medication adherence as directed by the medical provider.
- Acts as a bridge between individuals, families, communities and health and human services.
- Provides culturally appropriate health education, information and outreach in community-based settings, usually in the patient's home.
- Provide services, such as advising on access to health and human services, social support, care coordination and health screenings available.
- Maintain updated client records with plans, notes, appropriate forms or related information.
- Advise clients or community groups on issues related to improving general health such as diet or exercise.
- Identify or contact members of high-risk or otherwise targeted groups, such as member of minority populations, low-income populations, or pregnant women.
- Contact clients in person, by phone, or in writing to ensure they have completed required or recommended actions.
- Distribute flyers, brochures, or other informational or educational documents to inform members of a targeted community.
- Refer community members to needed health services.
- Attend community meetings or health fairs to understand community issues or build relationships with community members.
- Collect information from individuals to compile vital statistics about the general health of the community.