Community Health Workers provide social care services through assessment, care coordination, and navigation of complex systems of care. The Reentry Community Health Worker supports formerly incarcerated clients with social needs by connecting them to community resources, social services, and healthcare, including behavioral health. The Community Health Worker serves as an advocate when facilitating access to services. The Community Health Worker collaborates internally and externally to ensure clients receive resolutions for their social care needs. The Community Health Worker reports directly to the CHW Coordinator.
Social Care Navigation Responsibilities
- Complete duties with pre-released clients: orientation and screening, develop initial case plan, in-reach process, verify incarcerated participant information
- Complete duties with post-release clients: facilitate monthly meetings between each client and their parole officer, Beacon, Probation and Parole, and Law Enforcement
- Coordination of all Community Hub referrals through Hub Intake as well as usage of Hub partner organization referrals.
- Receive/process all Community Hub referrals.
- Planning and scheduling resource partner referrals to Hub Partners.
- Facilitating monthly case staffings between program participants and Hub Partners.
- Coordination and completion of follow-up activities for Hub Resource Partners.
- Provide support and maintain relationships between Community Health Workers and Hub Partners.
- Provide advocacy for clients when needed by interacting with clients and agencies to resolve problems and provide information.
- Support/coach clients while they learn to self-navigate.
- Conduct follow-up with clients on a scheduled basis.
- Participate in monthly case staffings
- Assist in relationship building with resource partner agencies and their personnel.
- Comply with specific contractual obligations
- Other duties as assigned
Reentry Community Health Worker Responsibilities
- Provide social care to formerly incarcerated and/or justice-involved individuals
- Provide advocacy for clients when needed by interacting with clients and agencies to resolve problems and provide information.
- Provide services in person when necessary and appropriate
- Support/coach clients while they learn to self-navigate.
- Conduct follow-up with clients on a scheduled basis.
- Communicate regularly with personnel and entities involved in client care (e.g., Parole Officer, Food Bank staff)
- Access, retrieve, and input information into an automated database/client information system.
- Maintain accurate records and information regarding use of funds for program participants
- Assist in relationship building with resource partner agencies and their personnel.
- Comply with specific contractual obligations depending on the program or project
Beacon-wide Staff Responsibilities
- Complete all work with Beacon’s mission and vision in mind, including assigned tasks or projects outside the scope of regular work responsibilities.
- Work within the core value of Better Together by building and maintaining relationships with Beacon staff members, clients, and community partners.
- Work within the core value of Self-Care by ensuring your own good physical and mental well-being and encouraging it in those around you.
- Work within the core value of Lifelong Learning by engaging in staff professional development and self-directed learning.
- Work within the core value of Belonging by seeking opportunities to build community and a positive working culture at Beacon.
- Work within the core value of Solution Oriented to provide excellent social care for clients, including collaborating to raise funds and find other resources to support Beacon’s mission.
Beacon-wide Quality Metrics
- Key Performance Indicator 1: Beacon will successfully interact with 2600 or more clients in 2024.
- Key Performance Indicator 2: Beacon will connect 92% of its active clients to 1+ social care resources.
- Key Performance Indicator 3: Beacon’s health equity clients will have a 30-day hospital readmission rate of 7% or lower. Beacon’s justice clients will have a 12-month rearrest rate of 20% or less.
- Key Performance Indicator 4: Beacon’s client will score 90% or higher on a client satisfaction survey.
- Key Performance Indicator 5: Beacon will curate 100% of its community resources annually.
- Key Performance Indicator 6: Beacon will complete the required training with all client-facing staff within 3 months of hire and complete all required refresher training with existing staff.
- Key Performance Indicator 7: Beacon staff will participate in building and sustaining a positive work culture, as indicated by 75% satisfaction on work culture surveys.
Professional Qualifications
- High school diploma or equivalent required, Bachelor's degree in social work, sociology or related field or equivalent experience preferred
- Complete Community Health Worker training within the first 3 months of employment
- Demonstrated ability to effectively communicate orally and in writing
- Ability to complete standardized assessments as part of holistic social care services
- Ability to speak on the phone, via video conference call, in-person, or via text/email to communicate with clients
- Empathetic demeanor at all times with all clients. Sensitive to the needs of the poor, uninsured, elderly, disabled, chronically ill, justice-involved, and other marginalized people
- Strong computer skills and the ability to accurately document client activities in an electronic health record
- Comfortable working in a busy, loud environment
- Reliable vehicle required as occasional travel is required
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