The Bilingual Community Health Worker III (CHW) under the direction of the Clinical Transition Liaison will provide Early Intervention Services (EIS) to the newly diagnosed and lost to care HIV positive patients both in the Adult and Bilingual clinics, linkage and follow-up services to HIV/HCV care. EIS services include identification of individuals at points of entry. The CHW III will conduct outreach to patients who have fallen out of care, at risk to being lost to care or who are not virally suppressed; this includes conducting outreach/home visits as needed to link patients to HIV/HCV services. CHW III will assist patients in follow –up, and execution of case management and medical treatment plans. The CHW III will complete the barrier assessment on all patients, and connect patients to the appropriate staff to obtain public benefits and entitlements. The CHW III will assist patients with Linkage to Care, Passive Referrals, Health Literacy, Education and Training that will enable patients to navigate through the system of care. CHW IIIs will provide support, advocacy and encouragement to patients receiving HIV/HCV primary care at CORE Center. Further, CHW IIIs will develop professional and trusting relationships with patients receiving HIV/HCV primary care at the CORE Center and will assist patients in follow-up and execution of case management and medical treatment plans, address barriers to care, and connect patients to appropriate staff to obtain public benefits and entitlements.
Initiates immediate contact with screening clients and New Patients to CORE Center.
Perform retention activates to assure successful transition to clinic.
Provide communication to PCMH members and Patient during first and subsequent visits to clinic.
Make appropriate and timely connections to Lead case managers to assist patient in understanding their service plan.
Participate in all Multidisciplinary Care Team Meetings.
Adhere to Social Services Documentation Policy of all Patient Encounters and Forms.
Maintain a Working Knowledge of Community and Internal program that would enhance the client’s ability to be maintained in care.
Enhance Professional Development and Maintain an Area of Specialization
Participate in all CORE Center Meetings and County’s mandatory training and meetings.
Participate in Social Services Continuous Quality Improvement Efforts
Adhere to CORE Center and Social Services Specific Policies & Procedures
Provide Excellent Customer Service and Professionals when interacting with clients and internal and external customers.
Other duties as assigned by supervisor
QUALIFICATIONS - Knowledge/Skills/Experience
Minimal Formal Education Required: Minimum of a high school diploma or equivalent.
Minimal Length & Nature of Experience Required: Minimum of a high school diploma or equivalent. The CHW III is someone from the community who is culturally reflective of the clients CORE serves. Bilingual (Spanish/English) required. They must have knowledge of HIV treatment and prevention, completion of disease specific training and knowledge, (6 weeks; 40hrs per training). Ability to work with culturally, racially and ethnically diverse clients and staff. Familiarized with population specific skills, trauma informed care and motivational interviewing. Must engage in self-care activities including but not limited to group/individual support, anger management and street outreach safety. Need to have the ability to document in patient electronic medical records and appointment scheduling. Knowledge and experience working with diverse and complex clients required. Microsoft Office Program, Access, and similar data base experience required. Experience working with clients with multiple needs. Comfortable working with high volumes of clients in a fast paced environment preferred. Must be flexible with schedule as some evenings and weekends are required.
Special Knowledge and Skills Required and Preferred: The CHW III is someone from the community who is culturally reflective of the clients CORE serves. Must possess reliable automobile, a valid IL Driver’s license, and automobile insurance. Ability to function autonomously as a worker and as a team member on a multidisciplinary team, excellent oral and written communication skills, problem solving and conflict resolution skills. Knowledge of HIV/AIDS and family issues, commitment to confidentiality, ethics, and a culturally sensitive approach to counseling are required. Experience working in primary care medical settings desirable. Must be able to proactively identify problems and seek resolutions before they become critical and must be able to work well with others toward problem resolution. Community Health Worker Certificate preferred.