Case Manager - Community Health Worker

JOB DESCRIPTION

POSITION TITLE : Case Manager - Community Health Worker

DEPARTMENT : Senior Services

FLSA STATUS : Non -Exempt

PAY GRADE : 8

GENERAL DESCRIPTION OF DUTIES

Reporting to the Project Director, the Case Manager - Community Health Worker (CHW) will maintain individual files and assist seniors obtain services and resources that will improve health outcomes, including services that connect seniors with health care resources and public assistance programs, help build healthier environments, and provide services to address the social determinants of health.

SPECIFIC DUTIES AND RESPONSIBILITIES

ESSENTIAL JOB FUNCTIONS

The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.

• Provide comprehensive care coordination to customers using the STS process, maintain individual records including file maintenance, file purging, completing necessary forms, including Universal Intake; Monitor and document customers progress and adherence to Individualized Service Plan and individualized services.
• Ensure that all intake information is entered accurately into STS.
• Coordinate services for individuals relative to senior services programs and connects individuals to resources in the community and continue follow up as appropriate.
• Interview customers on site or through home visits to provide barrier free access to case management services.
• Coordinate with Town Renter Rebate program, set up appointments with customers and inform customers of documents needed.
• Advocate and mediate for customers with physicians, nursing homes, state agencies and assist families in obtaining greater understanding of the process.
• Assist customers with entitlement programs to include at minimum : Medicare Advantage Open Enrollment, Medicare, Title 19, SNAP application and re-determination of benefits.
• Coordinate and set up workshops and / or activities for seniors, to include at minimum enhancing health literacy and empowerment, improving access to insurance, and promoting economic stability.
• Serve as a liaison to community organizations in an effort to have collaborative partnership with healthcare providers and community stakeholders.

Refer clients for other core medical services and monitor / document such linkages

MINIMUM TRAINING AND EXPERIENCE

Driving Required : Yes Personal Vehicle : Yes

ADA COMPLIANCE

Physical Ability : Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching and crawling, and which may involve some lifting, carrying, pushing and / or pulling of objects and materials of moderate weight (12-20 pounds).

Sensory Requirements : Some tasks require visual perception and discrimination. Some tasks require oral communications ability.

Environmental Factors : Tasks are regularly performed without exposure to adverse environmental conditions, such as dirt, dust, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals / wildlife, toxic / poisonous agents, violence, disease, or pathogenic substances.

M-F 8 : 30a-4p