**Employment Type:** Full time **Shift:** Day Shift **Description:** A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has a remarkable understanding of the community served. This trusting relationship with the community enables the CHW to serve as a liaison/link/intermediary between health system and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Delivers services to vulnerable and high-risk individuals, particularly those hard-to-reach and/or with social needs, in home and communitybased settings. Draws upon and uses lived experiences to provide advocacy, support and referral service to individuals assigned to their caseload. Conducts and interprets individual assessments to identify non-clinical needs and mitigate any barriers to resources and services. Improves access to health and human services for individuals through in-person interactions, telephone contacts, and coordination of referrals per protocols of ministry's specific programming. Provides basic education regarding chronic health conditions and health promotion in a way that promotes understanding and selfmanagement by the individual. Reinforces health literacy and educational messages using appropriate tools and supplies within scope of practice. Facilitates Diabetes Prevention Program group classes. Facilitates or conducts enrollment in available federal, state and local programs to increase access to health care and support services. Examples include health coverage via the insurance marketplace, Medicaid, Medicare, social security benefits, food, and housing services. Serves as a liaison between providers and patients to facilitate communication and coordination of services. Coordinates and monitors services, including comprehensive tracking of patients' adherence in relation to care plan objectives per protocol. Provides in-service education to service providers (including licensed health care professionals and health professions students) relative to healthcare customs/beliefs of the focus population and works cooperatively with other community agencies and clinical care teams to promote culturally appropriate services. Continuously expands knowledge and understanding of community services and resources; maintains frequent contact with community agencies serving vulnerable populations and participates in community meetings. Uses Social Care tools via TogetherCare (or similar protocols) for care coordination. Completes timely and accurate documentation of services provided to individuals in electronic medical record or other platform per ministry's protocol. Maintains electronic files, which include consent, release of information, and applicable assessments. Documents notes, activities, service plans, and outcomes achieved by individuals in an effective manner. Assists with data collection and interpretation relevant to understanding health and social service outcomes. Practice efficient time management and document time allocation accurately (if applicable). Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran