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Location: Temple, TX - BSWH CDM ClinicSetting: Case ManagementSchedule: FT Monday-FriESSENTIAL FUNCTIONS OF THE ROLEAssists clients in gaining access to needed services and increasing health knowledge and self-sufficiency while also learning how to best utilize available tools and services (, outreach, patient navigation and follow-up, community health education and information, informal counseling, etc.
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The Nurse will complete regular medical screenings for all CBHC individuals as well as assessments, follow up on lab work and referrals or admissions, and consults to other team members.
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Conducts eligibility determination, enrollment and follow-up with uninsured patients. Advocates for individual and community health needs and assists with providing direct services such as mammogram and diabetes screenings during community outreach activities.
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Summary:The Community Health Worker (CHW) will play a pivotal role in providing follow-up support to Family Connects Nurse Home Visitors, ensuring the continuity and effectiveness of services provided to families.
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Prepares case reports; documents assessment, progress notes and related information as required by Medicare, MediCal, Title 22 and other mandated regulations according to Department standards; prepares correspondence regarding patient intake or follow-up.
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As the Women’s Health Community Health Worker, you will support the lactation needs of a new parent, identifying the integrated health needs of patients, as well as social determinants of health (SDOH) barriers, and facilitating appropriate follow-up through care coordination.
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