Community Clinic, Inc. (CCI) is a nonprofit, community-based health care agency serving residents of Montgomery and Prince George's counties who are uninsured or under-insured and others. CCI welcomes adults and children in need of primary health care and WIC nutrition education and food supplement services, provided in 11 accessible locations. CCI is committed to your good health and has been serving the community since 1972. Our expert, dedicated and certified staff are well-trained and friendly. If you are looking for a patient-centered medical home, we can offer you a full array of primary care and WIC services to get well and stay healthy.

Under the direction of the HIV Care Team, the Community Health Worker will conduct culturally appropriate care coordination, health education and outreach activities in health center and community-based settings such as patient homes, clinics, and community centers. The Community Health Worker will assist patients to access the variety of social and medical services they need to maintain their health. The Community Health Worker will collaborate with the HIV Care Team and to promote health and wellness and contribute to the goals and objectives of the patients’ care plans.

KEY FUNCTIONS/RESPONSIBILITIES:

•    Establish trusting relationships with patients and their families, and provide general support and encouragement
•    Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families
•    Conduct intake interviews with patients to assess needs, and make referrals to community agencies and programs as needed
•    Follow-up with patients by phone, home visits and visits to other settings where patients can be found
•    Assist patients with completing applications and registration forms
•    Conduct eligibility determination, enrollment and follow-up with uninsured patients
•    Assess needs and help patients set personal goals to improve/maintain compliance with the plan of care
•    Assist patients to access transportation resources and provide appointment reminders in special circumstances, transporting patients is strictly prohibited
•    Work closely with HIV Care Team to help ensure that patients have comprehensive and coordinated care
•    Work cooperatively with other clinical personnel on the HIV Care team assigned to the same patients 
•    Maintain updated list  of community resources appropriate to needs of patients/families
•    Provide consistent communication to the HIV Care Team to evaluate patient/family progress, ensuring that provided information and reports clearly describe progress.
•    Act as a patient advocate and liaison between the patient/family and community service agencies (e.g. schools, Department Human Services, Heath Care for Homeless, hospitals, support groups, etc.). 
•    Record patient care management information in the EMR (training provided) and other software no later than 24 hours after patient contact   
•    Attend regular staff meetings, trainings and other meetings as requested
•    Manage assigned caseload of patients
•    Other duties as assigned

•    High School Diploma or its equivalent
•    Past education / training / experience as a Community Health Worker preferred
•    Written and oral fluency in English required
•    Experience working in a multicultural, community-based setting for at least 1 to 2 years preferred
•    Knowledge of some medical terminology preferred
•    Basic computer skills
•    Understanding of the community served - community connectedness
•    Experience working with people living with HIV preferred

All your information will be kept confidential according to EEO guidelines.