Job Description - Community Health Worker II - Community Health Program MGH strives to advance health equity, improve health outcomes, and promote well-being of our primary care patients by addressing health-related social needs, system navigation, and care coordination as standard of care. This position will contribute to these MGH efforts through collaboration with the Department of Equity and Community Health (ECH) and the Department of General Internal Medicine (DGIM) Population Health Management teams. The Community Health Worker (CHW) will be part of the pediatric CHAMPION Program’s multi-disciplinary care team which includes a physician and dietitian. The CHAMPION program consists of individual and group visits guided by a set curriculum with a multi-disciplinary team (medical provider, dietitian, and community health worker), and other tools to support behavioral change and reduce body mass index (BMI) and asthma. Key Areas of Responsibility: Works as an effective team member of the ECH and DGIM population health management program to provide health coaching and care coordination to patients and families. Principal Duties and Responsibilities: Patient Engagement and Health Coaching: Engage patients telephonically, via home visits, and in the PCP office with occasional accompaniment to medical appointments and community services. Facilitation of weekly group visit sessions with families (virtually and in-person), based on a set curriculum. Meet with patients once/month with the multi-disciplinary team, focusing on goal setting, physical activity promotion, and connection to community resources. Work with patients and families to identify and help address barriers to care. Provide culturally sensitive services to patients from diverse racial, cultural, and socioeconomic backgrounds; utilize medical interpretation as needed. Participate in the Virtual Learning Community, and Quality Improvement calls and activities. Connect families with community organizations/activities that promote a healthy lifestyle. Systems Navigation and Care Coordination: Help address logistical barriers, scheduling challenges, childcare needs, etc., that would inhibit a patient from showing up at their appointment. Assist patients in organizing their records, making follow-up appointments, filling their prescriptions, understanding past medical history. Provide advocacy, patient education, and support in accessing community-based and hospital-based programs. Minimum Requirements: High school diploma or GED required. Relevant experience in the community or bachelor’s degree preferred; preference for Psychology/Social Work/Public Health or related field. Three years of experience in the field, pediatric healthy weight management training or experience and motivational interviewing training is desired. English language proficiency is required. Proficient in Microsoft Applications, including MS Word and Excel. This is not a clinical position but requires a good knowledge of (and willingness to learn) basic clinical concepts and an understanding of when a referral to a licensed clinician is appropriate. Primary Location: Chelsea 02150 Job: Social Services Organization: Massachusetts General Hospital (MGH) Schedule: Full-time, Standard Hours 40 Shift: Day Job Employee Status: Regular Recruiting Department: MGH Community Health Improvement J-18808-Ljbffr