Introduction
To heal, to teach, to discover and to advance the health of the communities we serve.
To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.
Overview
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.
The Community Health Worker Institute at Montefiore is a new Institute of excellence designed to help patients navigate social determinants of health. Family Health Workers (Community Health Workers) will be integrated as critical members of clinical heath care teams across the health system. The FHW will help patients identify and navigate clinical and community resources, help patients remain engaged in clinical care, and empower patients to advocate for themselves. He/She will be responsible for conducting follow-up, documenting and reporting on patients' outcomes. FHWs will be responsible for providing support for patients at multiple clinical sites and be required to travel to each site weekly.
This is a 100% grant funded position.
Responsibilities
- Assess patients’ social needs and link patients to needed services.
- Follow up with patients to improve engagement, ensure that challenges have been addressed and needs are met.
- Conduct intense follow-up with high-risk patients to improve clinical outcomes. Articulate patient barriers, risks and complications to care team.
- Share up-to-date resources, eligibility criteria and other information relevant to navigating health and social needs. Including organizing required documents, completing applications, and scheduling appointments.
- Track and document patient contacts, services provided, and follow-up outcomes.
- Build and maintain positive working relationships with social service agencies, community-based organizations, and community-based programs to support social needs navigation.
- Effectively convey the role and services of the CHW Institute and CHW staff to internal and external stakeholders, community members, and patients.
- Complete ongoing training to enhance patient engagement skills, content area knowledge and navigation.
- Conduct home visits (virtual and in person) and accompaniment to service providers for patients/families with the highest needs.
- Conduct individually tailored education and follow up to support healthy behaviors and uptake of health and social support services.
Required Travel:
This position will require working at the following four work locations:
- Montefiore Medical Group- Cross County: 1010 Central Park Avenue, Yonkers, NY 10704
- Montefiore Medical Group Eastchester: 440 White Plains Road, Eastchester, NY 10709
- Community Health Worker Institute: 3514 Dekalb Ave, Bronx, NY 10467 (Administrative Office)
- Community Health Worker Institute: 1300 Morris Park Ave, Bronx, NY 10461 (Administrative Office)
Requirements
- High School or GED.
- 1-3 years of experience.
- PC Computer: Microsoft Office Suite, Electronic Medical Record (Epic), Data reporting system (REDCap), virtual meeting software (Microsoft Teams, Zoom).
- Fax Machine.
- Telephone.
- Photocopier/Scanner.
- Fit Test - OHS Required.
- Annual Assessment - OHS Required.
