Reports to a designated Manager (Community Health Enhancement). Functions as a member of the care coordination team with a primary focus on outreach, case finding and direct intervention services with selected individuals and families. Assists clients to receive the services they need. Serves as a link between the clients and the community by helping the family access healthcare and social services, which meet their needs, in the community. MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Identifies and enrolls individuals who are in need of healthcare services by:
- Interviewing, identifying and enrolling patients; also encouraging them to receive appropriate education and care.
- Identifying and enrolling families who are in need of preventive, education and episodic healthcare services.
- Utilizing creative ideas, with the approval of the Manager, to reach out into the community to make contact with underserved segments of the population.
- Provide support to patients; educate clients of available community resources.
- Becoming visible and active within the community.
- Following up on suggested contacts by current clients.
Assists in the clients care coordination by:
- Completing an intake record and scheduling an initial assessment with the Care Coordinator.
- Visiting clients/patients in their homes to provide support, encouragement and guidance.
- Assisting clients in accessing healthcare services.
- Acting as an advocate to families.
- Working with the Care Coordinator to develop and implement an individualized intervention plan.
- Following up on referrals made to families and making referrals to other appropriate agencies to meet the needs of the family.
- Providing individualized educational and emotional support in accordance with the intervention plan.
- Helping clients/patients improve their health risk behaviors, as identified by the appropriate staff.
- Helping clients identify a personal support system.
Supports the Community Health Enhancement department by:
- Maintaining records, reports and files as required by departmental policies and procedures; also keeping accurate records of home visits, appointments and referrals.
- Following up on clients who have missed an appointment.
- Meeting with the educator, on a weekly basis, to review individualized care plans, share information and report progress.
- Meeting with the care coordination team, on a monthly basis.
- Providing basic health education for clients and their families.
- Communicating with the Manager regarding any concerns or problems.
- Participating in orientation and training sessions.
Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
- Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIESAssociate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR), and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
- Leverage innovation everywhere.
- Cultivate human talent.
- Embrace performance improvement.
- Build greatness through accountability.
- Use information to improve and advance.
- Communicate clearly and continuously.
Education and Experience: The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent). Some clinical training or college-level courses are desired. A minimum of one year of experience in a healthcare or social services setting is required. Knowledge & Skills:
- Demonstrates basic knowledge of family communication skills, community agencies, services and resources available to clients and their families.
- Requires basic knowledge of medical terminology.
- Requires self-motivation, good organization and time management skills.
- Requires the ability to establish and maintain effective working relationships with clients/patients, families, staff, medical providers and the public.
- Demonstrates the communication skills (both verbal and written) necessary to interact effectively with diverse populations; also requires the skills needed to communicate in a clear and effective manner.
- Requires good listening and feedback skills, as well as the ability to accurately assess difficult situations and respond accordingly.
- Requires the ability to use good judgment and maintain one's composure in any stressful situations.
- Demonstrates proficiency in basic computer skills (i.e., data entry, word processing and spreadsheets).
Working Conditions:
- Works in an office and patient care environment.
- Occasional possible exposure to communicable diseases and other conditions in a clinic or home setting.
- May be required to travel to clients' homes and other off-site locations.
Physical Demands: Requires the physical ability and stamina to perform the essential functions of the position.