MGH strives to advance health equity, improve health outcomes, and promote well-being of our primary care patients by addressing health-related social needs, system navigation, and care coordination as standard of care. Community Health Workers (CHWs) are an integral part of achieving these goals. CHWs are trusted members of the community who help patients improve access and coordinate their health care. CHWs have the skills and experience to understand their patients’ circumstances. By building trusting relationships and walking alongside their patients, CHWs help address medical and psychosocial needs in order to promote self-efficacy, help patients meet their goals, and improve health outcomes.
The CHW is an integrative part of the Integrated Care Management Program (iCMP) team at MGH. The iCMP is a primary care-based care coordination program. It is an innovative program that focuses on improving the health of high-risk medically, psychiatrically, and/or psychosocially complex adult patients. The objectives are to improve quality of care, patient and provider satisfaction, and reduction in overall healthcare costs. This is accomplished through proactive patient outreach, engagement, and care coordination. The CHW role collaborates closely with the interdisciplinary care team to connect patients to resources, improve patients’ access to care, and support patients to achieve optimal health and wellbeing. The position requires a high degree of flexibility, independence and willingness to participate in multiple activities and provide support to all members of the iCMP team.
This position will support iCMP patients in the Chelsea Health Center.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Patient Engagement and Assessment
Systems Navigation, Health Coaching, and Care Coordination
Collaboration and Documentation
QUALIFICATIONS:
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
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