For more than 20 years, ACCESS has been on the frontlines of community-based health care. As one of the nation’s largest federally-qualified health center (FQHC) organizations, our mission is to provide outstanding preventive and primary health care, accessible to all in their own communities.
Access Community Health Network (ACCESS) offers outstanding primary and preventive care in nearly 40 community health center locations throughout Chicago and the surrounding suburbs. Accredited by the Joint Commission, ACCESS serves as the medical home for nearly 200,000 patients each year.
ESSENTIAL JOB RESPONSIBILITIES
• Engage patient assigned or referred for community health specialist in a collaborative on-going relationship to help facilitate their care
• Promote program and services for families and provide health care and social information that encourages self-management
• Assess patient’s strengths and needs, and develop a plan for intervention. Care planning and coordination is done in collaboration with an interdisciplinary team
• Provide ongoing follow-up with patients and/or service providers to determine whether patients have accessed services. Follow-up should be continuous from initial identification through case closure.
• Make home visits and conduct case management activities in community settings as required by program guidelines
• Conduct or co-lead group interventions as required by program guidelines
• Serve as part of the patient’s care team and support health center operations and attainment of organizational metrics
• Establish effective and respectful relationships with patients, families, professionals, payers and other relevant parties
• Assist in developing/maintaining community referral relationships and effectively connecting patients and families to community resources
• Engage in community planning groups and/or meetings to support the social and health care needs
• Using information systems and decision support, maintain a risk-adjusted caseload, and provide direct case management services to address specific issues affecting their health risk or health status
• Complete documentation and data entry as needed to assure optimal patient care and program reporting
• Participate in evaluating outcomes at the individual level with each patient and at the same time participate in agency-wide evaluative and quality improvement efforts
• Obtain & maintain certifications/licensure/trainings as needed
• Perform other related tasks as needed or assigned
• Bachelor's preferred in health related field (social work, psychology, counseling, rehabilitation, gerontology, sociology, or other human service field with demonstrated knowledge in working in a community based and/or public health setting)
• One year experience working in a health care setting.
• One year experience as a case manager or at least 2 years in public or private social service program or health care setting.
• Ability to utilize technology to complete job duties
• HIV Rapid Response testing certificate is preferred
Access Community Health Network is an Equal Opportunity Employer