Community Health Case Manager (Health Worker)

Position Summary :

The Case Manager / Community Health Worker is responsible for the recruitment, outreach, coordination and delivery of the programs and services at apartment Housing communities, the YMCA Health Navigation program along with Health Empowerment Evidence Based programs. The CHW will be assisting to connect residents to clinical and community resources to include, but not limited to, food assistance, economic needs, housing needs, transportation needs, health management needs, legal status needs, mental health needs, YMCA emergency fund, rental and / or utility bill assistance, and more. The individual in this role, must have an interest in working as an advocate for seniors, adults, youth, families, the community and specifically those with chronic conditions and health challenges, vulnerable populations, undocumented communities, immigrant communities, special needs communities, low-income communities, and the underserved throughout Broward County. Bilingual English / Creole strongly preferred

Essential Functions / Job Duties :

• Establishes, maintains community partnerships, and serves as a liaison between YMCA and community sites and partners.
• Recruits program participants including conducting presentations and distributing printed materials.
• Identifies community leaders and maintain a community contact list.
• Provides services and program outreach and delivery to residents of apartment housing communities, YMCA Health Navigation program and assists with prevention / education development and presentations.
• Reaches individual annual reach goals as a part of overall grant goals through recruitment and referral leads and provide ongoing program service through a monthly caseload of active participants.
• Delivers Evidence Based programs.
• Keeps regular attendance records with use of an online data management system.
• Fully understands, articulates and reflects in professional practice the mission and philosophy of the YMCA.
• Conducts field visits, outreach and serve as resource to both participants and partners while maintaining social distancing guidelines.
• Coordinates and participate in community site events.
• Keeps records of registered participants and programs sites.
• Provides Director with a weekly update of progress.
• Establishes trusting relationships with participants while providing general support and encouragement.
• Engages and motivates participants to be active participants in their health.
• Provides ongoing follow-up, motivational interviewing and goal setting with participants.
• Utilizes motivational interviewing and teaches approaches to ensure that participants understand their health issues and how to manage them.
• Follows-up with participants with calls, and in person visits and other settings where participants can be found.
• Helps participants develop heath management plans, goals, and follows-up on health management care plans and action plans with participants and providers.
• Provides referrals for services to community agencies as appropriate.
• Helps participants connect with transportation resources however transporting patients is strictly prohibited.
• Assesses participants’ interest in evidenced-based programming and assists participants in enrolling in such programming.
• Takes professional development trainings to keep abreast of health empowerment opportunities and resources for participants.
• Develops working understanding of health disparity and resources to overcome.
• Adheres to all risk management and safety protocols.
• Understands the importance and purpose of fidelity (following the program protocols).
• Facilitates at least two Health Empowerment workshops a year, one every six months.
• If inactive within 6 months must attend update session.
• If inactive for a year must complete specialized training once again.
• Before workshop : obtains materials at least 2 days before you begin to teach a workshop (unless other arrangements have been made with the Director).
• Participates in staff meetings and workshop sessions including set up and break down. 15 minutes are allocated for set up and 15 minutes for break down.
• Prepares charts with legible writing.
• Reviews data forms thoroughly and return them completed to Director.
• Keeps in touch with Director to report attendance, discuss, and resolve any problems.
• Provides appropriate referrals regarding community resources to evidence-based programs such as A Matter of Balances, Chronic Disease Self-Management, Diabetes Self-Management, YMCA PEARLS, and others.
• Supports the Membership, Operations and Wellness areas for the family center as needed.

YMCA COMPETENCIES (i.e. Leader, Team Leader, Multi-Team / Branch Leader) :

Qualifications, Skills and Abilities / Position Requirements :

Education and Experience :

Certificates and Licenses :

Other Skills and Abilities :

Position Profile

Work Environment :

The work environment characteristics described here are representative of those an employee encounters while performing the essentials functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Employment at the YMCA is at-will. It is purely voluntary, based upon the consent of both the Association and the staff member. No expressed or implied contractual rights should be inferred from this job description.

As a condition of employment, you will be required to submit to and satisfactorily clear a thorough Level II fingerprinting background screening.

As a Drug-Free Workplace, all new hires must successfully complete a drug test. Please note Medical Marijuana cards do not exempt you from successfully passing your drug test.

The YMCA of South Florida is committed to the policy of Equal Opportunity prohibiting discrimination in the workplace because of race, color, religion, national origin, sexual orientation, political affiliation, age or disability.