Community Resource Navigator-Community Health Worker-Kidney Care

Community Resource Navigator-Community Health Worker-Kidney Care

Requirements

• Bachelors degree in public/community health/social work
• OR
• Associate degree in public/community health or healthcare related field with a minimum of one (1) year of experience in a directly related field or working in a community-based setting including paid or volunteer activity with a non-profit organization, church, healthcare organization, neighborhood community center, or other relevant community-based involvement.
• Completion of SCCHW Certification within (1) year of hire: [https://www.scchwa.org/credentialing-information-learners](https://marketplace.cms.gov/technical-assistance-resources/training-materials/certified-application-counselor-training-courses) and/or other Community Health Worker training course.
• Valid driver’s license, an acceptable 3-year motor vehicle as defined by the Acceptable Motor Vehicle Record (MVR) Chart, and a certificate of auto-insurance.
• Good organizational and time-management skills
• Ability to work independently with accountability and exercise sound judgment, discretion and professionalism at all times.
• Available to work occasional evenings and weekends.
• Ability to travel and independently meet with patients in the clinic, home or community-based setting.

Responsibilities

• Collaborates with patients, family members/caregivers, healthcare professionals and community-based organizations to address social care needs and socio-economic barriers to health
• Conducts screening and assessments to identify appropriate resources for patients with chronic kidney disease (CKD) with their unmet social, medical, and behavioral needs and facilitates assistance or interventions between care visits
• Provides education and information about available community resources and services to CKD patients and family members/caregivers
• Builds relationships with CKD patients and community-based organizations and follows up to close the loop and ensure needed services are received
• Assists with social care program enrollment forms and applications for high-risk CKD patients and follows up to close the loop and ensure needed services are received
• Gathers information, documents, and enters data into the electronic medical record, social care electronic platforms and other identified tools and contributes to data analysis
• Summarizes progress to leadership team on a regular basis to keep them aware of the success and to engage them in quality initiative/improvement process
• Provides oversight of operations, accounts, and balances of the Nourish to Flourish Food Pantry to include summarizing expenditures, preparing balance sheets, and making recommendations. Collaborates with identified business partners to ensure appropriate funds flow and accounts monitoring.

Preferred Qualifications

• Bilingual – Spanish speaking/preferred