社区健康工作者（认证-2）
Community Health Worker Certified-2
位置：
在家办公（宾夕法尼亚州）
班次：
白天（美国）
每周计划工作时长：
40
员工类型：
正式员工
豁免状态：
否
职位简介：
在社会需求资源中心（SNRH）中的认证社区健康工作者（CCHW）通过电话沟通为主要方式，为有明确社会需求的个人提供以患者为中心的外展服务。在团队协作模式下，CCHW与医疗团队、基于社区的组织（CBO）和中心同事合作，评估需求并协调适当的支持。
CCHW运用激励性访谈和问题解决技巧，对患者进行教育，并将他们与解决健康社会决定因素的社区资源联系起来，包括交通、食物不安全、住房、经济压力和公用事业。
该职位包括通过Neighborly平台促进转介并与CBO合作，以确保及时有效地连接到服务。CCHW进行后续外展以确认成功连接并解决障碍，支持共享的团队工作流程和责任模型。
需要在Geisinger的电子病历（EMR）中准确且及时地记录，以捕捉外展工作、转介和结果，支持报告、质量改进和项目评估
职位职责：
- 对新社区健康工作者进行引导和评估。
- 在引导期间定期评估员工表现出的熟练程度，以支持决定员工是否继续培训或重新聚焦直到达到熟练水平。
- 协助识别和接触医疗复杂的患者。
- 与多学科团队合作，制定和实施护理计划。
- 通过电话、家访、医院访问以及根据需要陪同患者前往医生预约来与患者互动。
- 完成生命体征测量。
- 识别护理缺口，并将成员与资源联系起来。
- 与成员和医护人员进行远程医疗访问。
- 进行特定疾病的教育。
- 进行药物审查，以确保药物依从性。
- 在患者家中进行安全评估。
- 通过早期识别和解决护理缺口，促进治疗方案的依从性。
- 在必要时向临床团队和经理沟通所有问题，主动寻求支持和指导。
- 参与多学科团队会议，以最大化治疗方案。
- 在病例管理员的指导下，对治疗方案进行强化。
查看英文原文
Location:
Work from home (Pennsylvania)Shift:
Days (United States of America)Scheduled Weekly Hours:
40Worker Type:
RegularExemption Status:
NoJob Summary:
The Certified Community Health Worker (CCHW) within the Social Needs Resource Hub (SNRH) provides patient-centered outreach, primarily through telephonic engagement, to individuals with identified social needs. Working within a team-based model, the CCHW collaborates with healthcare teams, community-based organizations (CBOs), and hub colleagues to assess needs and coordinate appropriate support.
The CCHW utilizes motivational interviewing and problem-solving techniques to educate patients and connect them to community resources that address social determinants of health, including transportation, food insecurity, housing, financial strain, and utilities.
This role includes facilitating referrals and partnering with CBOs through the Neighborly platform to ensure timely and effective linkage to services. The CCHW conducts follow-up outreach to confirm successful connections and address barriers, supporting a shared team workflow and accountability model.
Accurate and timely documentation within Geisinger’s electronic medical record (EMR) is required to capture outreach efforts, referrals, and outcomes, supporting reporting, quality improvement, and program evaluationJob Duties:
- Orientsandassesses newCommunityHealthWorkers.
- Providesregular assessmentofthelevelofproficiencydemonstratedbystaffduring theorientationperiodinordertosupport decisions to move staff along in training or refocus until proficiency is met.
- Assistsintheidentificationandoutreachofmedicallycomplex patients.
- Collaborateswiththemultidisciplinaryteaminthedevelopmentandimplementationofthecareplan.
- Engagespatients bywayofphonecall, homevisit,hospital visit,andaccompanyingpatientstoProvidersappointmentsasneeded.
- Completesvitalsigns.
- Identifiesgapsincareandconnectsmembers withresources.
- Facilitatestelemedicinevisits withmembersandproviders.
- Performsdiseasespecificeducation.
- ConductsMedicationReviewtoensuremedicationadherence.
- Conductssafetyevaluationsinpatientshome.
- Facilitatesadherencetotreatmentplanbyearlyidentificationandresolutionofgapsincare.
- Communicatesallconcerns toclinicalteamandmanager asnecessary,seeking supportandguidance proactively.
- Participatesinmultidisciplinaryteamconferenceinordertomaximizethetreatmentplan.
- ProvidesreinforcementofthetreatmentplanunderthedirectionoftheCaseManagerandLicensedSocial Workerand is available for consultation and case review as needed.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Position Details:
Education:
High School Diploma or Equivalent (GED)- (Required)Experience:
Minimum of 1 year-Related work experience (Required)Certification(s) and License(s):
Certified Community Health Worker (CCHW) - Pennsylvania Certification BoardSkills:
Clerical I, Communication, Multitasking, Problem SolvingOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
- KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
- EXCELLENCE: We treasure colleagues who humbly strive for excellence.
- LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
- INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
- SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
Originally posted on Himalayas