Location: New York,NY, USA
Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locations.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.Job DescriptionTour II (8am - 4pm)PURPOSE OF POSITION:New York City Health + Hospitals is the largest safety net health care system in the country and serves 1.3 million New Yorkers, nearly 400,000 who are uninsured. It provides medical and mental health services through its 11 acute care hospitals, four skilled nursing facilities, six large diagnostic and treatment centers and more than 80 community-based clinics.NYC Health + Hospitals played a pivotal role during the COVID-19 pandemic, not just in treating New Yorkers, but also in testing residents, breaking chains of COVID-19 transmission in a timely fashion through contact tracing and ensuring New Yorkers could isolate and quarantine safely. NYC Health + Hospitals will play a leading role in supporting New Yorkers in the recovery from the COVID-19 pandemic, including by dedicating resources to address the disproportionate toll that the pandemic took on low-income residents and in communities of color. Through the creation of the NYC Public Health Corps, NYC Health + Hospitals will build a workforce of Community Health Workers that is focused on assisting patients with meeting their goals around health and well-being and that can be activated in case of future public health emergencies.SUMMARY OF DUTIES AND RESPONSIBILITIES:•Participate in ongoing education and specialized training to learn and maintain CHW skills, as well as public health emergency response skills, relevant for the Public Health Corps•Engage and recruit eligible patients in hospital and community settings, including outreach in the field in conjunction with mobile units•Conduct clinical or community-based assessments and interviews to identify and prioritize their health and social services goals and needs•Assess and address health, social and service-related needs of assigned/identified patients and create individualized, patient-centered, goal-directed care plans for each patient•Engage with patients frequently, including a high number of touchpoints both in-person and virtually•Support and motivate patients to achieve their health goals by coaching them and relevant family members through behavior change and identifying their strengths and community supports•Help patients connect to a primary care provider, specialty care providers, community services and/or mental health services, attend medical appointments, reconnect after missed appointments, and fill prescriptions•Engage patients during inpatient stays and, where possible, emergency department visits both within H+H and in other health systems, to facilitate transitions back for primary care and support the patient in their treatment course during an acute illness•Join patients during medical appointments and hospital stays as needed; communicate with their internal care team and, as appropriate, external service providers to help coordinate care; schedule appointments as appropriate•Assess ability of patients to manage their chronic physical and mental health conditions and work with care team to connect them to appropriate education and monitoring programs•Assist patients with social needs like food insecurity, housing issues, legal needs, insurance or other health care coverage, or transportation and provide referrals and follow-ups, as needed (for example, helping patients fill out benefit applications or escorting them to community organizations to obtain needed services)•Access and update specialized information systems to support the coordination of resources across government agencies in accordance with compliance mandates•Assist patients with obtaining vital records to enable access to appropriate services•Educate patients on available community services, health services, and patient rights; provide feedback from patients to NYC H+H to inform quality improvement efforts•Collect and track data to support achievement of patient-centered care plan using assessment tools, surveys, and logs, as appropriate•Document each patient encounter in the electronic medical record (Epic) and use other electronic systems (including but not limited to NowPow) in accordance with established policies and procedures•Attend regular team meetings to discuss patient and family progress and update care plans; communicate with patients' primary care providers.•Conduct home and community-based (including street or shelter with the appropriate safety protocols in place) visits to assess patient needs specific to their living environment•Serve as a liaison between the community and the health system by communicating patient experience to the CHW Supervisor and Program team•Report regularly to CHW Supervisor for support and feedback; participate in program improvement efforts, both with the clinical ecosystem of NYCH+H as well as with its intersections with other city agencies and community-based organizations•Perform other, related CHW program tasks, as needed and performs duties in response to public health emergencies, when necessary•Note: Where appropriate, special populations CHWs in pediatric settings will be engaging with the patient and the other members of the family unitMinimum Qualifications1. One year of full-time experience in a government agency or community organization in providing community services to the public or in assisting members of the community in obtaining community services; or2. Completion of an approved six-month training program of combined classroom training and on-the-job experience in community liaison work, plus six months of full-time experience as described in 1 above.In addition to meeting the qualification requirements of Assignment Level I, appointment to Level II requires:1. Two additional years of full-time experience in counseling, community work or community health activities in a government agency or community organization engaged in providing community services to the public, assisting members of the community in obtaining community services or maintaining liaison with schools, community organizations or other government agencies for the purpose of providing assistance and obtaining participation and support for implementation of community or public service programs; or2. Education and/or experience equivalent to 1 above. Study at an accredited college in sociology, psychology or other behavioral science may be substituted on the basis of 30 semester credits for each year of the experience described above. However, all persons must have at least one year of the full-time experience described above.NYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programs