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At Home Care Community Health Worker (CHW) in Hannibal, Missouri

Job Description:

  • Determine the individuals needs and screen for potential eligibility for services, utilizing a standardized screening instrument.
  • Provide efficient, timely and consumer friendly services to facilitate the eligibility review.
  • Provide necessary forms and package all forms in preparation for service determination.
  • Assist the individual in collecting, completing, gathering required information and documents for the services. This assistance may be provided in the individuals home. The activity includes assisting the potential applicant, as a secondary resource to family members and care providers.
  • Coordinate with the staff regarding potentially eligible individuals, monitoring the patients needs, program compliance.
  • Completing case management documentation
  • Help support adherence to the treatment plan and monitoring client needs
  • Help patients develop health and management plans and goalsincluding developing a Plan of Care (POC) for patients based on their needs and feedback from their families.
  • Assist in obtaining the Physician Referral form for probable individuals and coordinate with health insurance, community partners and the team.
  • Comply with follow-up and reassessment policies to monitor client status.
  • Act as a client advocate in a complex service delivery system and maintain an open line of communication for at-risk clients and their caregivers to ensure good customer relations and to watch over system efficiency and protocols.
  • Maintains customer and employee confidence and protects client confidentiality.helping support adherence to the treatment plan, monitoring the patients needs
  • Prepares reports by collecting and analyzing information.
  • Secures information by completing database backups.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications.
  • Other duties as assigned
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