Carilion Clinic

How You’ll Help Transform Healthcare:

This position will be supporting Hepatitis C patients and connecting them with treatment options.

Travels within their designated area to enroll, assess and develop care plans for clients who are within medically underserved areas and are in vulnerable populations. Designation as a vulnerable population may be due to: low-income (both insured and uninsured); identified service area; presence of one or more chronic diseases; exhibit risk factors for medical or socioeconomic conditions; be deficient in one or multiple areas of social determinants of health, and under limited circumstances, in areas beyond the defined service area. Identify barriers to health care and services and assist clients to effectively navigate and access needed services and resources.

• Identify potential clients and develop a rapport with clients in order to build trust and productive relationships.
• Conduct a standardized client assessment using a predetermined checklist, preferably during the first visit to the client’s home. Collect demographic data and other client information to effectively address any identified medical, behavioral health, oral health, social, environmental and educational risk factors.
• Document client information in electronic health record or care coordination software systems.
• Have periodic encounters, visits and communication with the clients in order to build and maintain effective pathways for care.
• Collaborate with larger care team to develop, monitor and assess individualized care plans to prioritize and address the clients’ risk factors in order to improve health outcomes. Each plan consists of a series of pathways designed to address the clients’ identified medical, behavioral health, oral health, social, environmental and educational risk factors. Assist clients in adopting healthy behaviors and access needed services.
• Ensure the Pathways HUB Model is strictly adhered to in following the appropriate steps, including identifying measurable outcomes.
• Work with supervisors and others who are a part of the care team to identify solutions to close identified gaps, barriers, and deficiencies in access to services and the provision of services.
• Successfully complete orientation and ongoing training, and seek opportunities to expand knowledge and understanding of community needs, resources, services and programs available to meet clients’ needs.
• Work with a variety of agencies and community based organizations, as requested, to identify gaps in services and align initiatives that improve the health of our community.

What We Require:

Education: High School diploma or equivalent required. Community Health Worker training must be successfully completed upon hire and reviewed annually.

Experience:Two years of general work experience required. Experience in community outreach efforts as a volunteer or paid professional preferred. Experience in working with underserved populations or direct patient care/reception, registration and/or customer service/consumer relations preferred.

Licensure, certification, and/or registration:Community Health Worker certification preferred. Must have a valid driver’s license and/or access to reliable transportation. AHA BLS-HCP must be obtained by end of supervised orientation and maintained.

Other Minimum Qualifications: Excellent interpersonal and communications skills. Ability to communicate and gain trust of people from various walks of life and various socio-economic strata. Computer word processing and data entry skills required. Experience with electronic medical record or care coordination software preferred. Bilingual in Spanish preferred. Must have reliable transportation to visit clients and attend training sessions and meetings as required.

Must have a valid driver's license and proof of auto insurance

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Requisition Number: 151779

Employment Status: Full time

Location: Carilion Clinic Infectious Disease

Shift: Day

Shift Details: Monday-Friday. Regular business hours. Occasional evenings and weekends for events and programs.

Recruiter: AMBER Z HAYDEN

Recruiter Email: azhayden@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.