CHW (Community Health Worker)

Direct Patient Services and Documentation

• Respond to care team referrals and patient self-referrals for care coordination, individual and family support, health promotion, and resource system navigation. Areas of knowledge include mother/baby, substance use, mental health, senior services, disability, basic needs (housing, food, clothing), chronic disease management, supportive counseling, behavioral activation. - Documents services appropriately in EHR in accordance with existing workflows to ensure continuity of care. -