Community Health Worker Apprentice-Behavioral Health

Essential FunctionsAccept patient referrals and warm hand offs, both in-person and virtually, from LifeLong providers and staff Contact, screens, and triage patients, using standardized tools, diagnostics and structured interviews as appropriate and required by program, to identify needs, assess eligibility for a variety of programs, determine patient interest in services, and maintain referral waitlist if needed Develop consistent, trusting relationships with patients, promoting patient centered care and support for patients to achieve their health goals. Facilitates connections to a variety of health and social services both within and external to LifeLong, including referrals to community resources and assisting with scheduling appointments, health insurance, access to medications and transportation Track patient attendance at appointments, follow up on no-shows to support and improve continuity of treatment and conduct appointment reminder calls per program protocol Provides schedules, as needed, in order to optimize patient access and productivity. Collect and enter data into the Electronic Health Record and other required data systems in a timely and accurate manner, generating reports as required to support workflows Provide patients with accessible educational and other materials including resource lists, releases of information etc. Track patients’ progress using data reports and other tools available through LifeLong data systems Participate with care team in developing guidelines and workflows for services Attend team meetings and case conferences; CHW may facilitate, take minutes, and follow up with action steps Maintain up to date information on health, educational, behavioral health and social service agencies in order to facilitate referrals and coordinate patient care Promote timely and coordinated internal communications among patients, medical, behavioral health and dental providers, case managers, and others involved in the patient’s care provision to inform and collaborate on care needs as they arise Attend external meetings as needed to ensure care coordination Involve family members/significant others as necessary to increase patient participation and improve patient well-being Promote diversity, equity and inclusion in support of patients and staff