Non-Clinical Careers at Lifespan

Community Health Worker - Transitions Clinic Job

Job Number: TMH15418

Job Title: Community Health Worker - Transitions Clinic

Department: Ctr for Prisoner Health Fund - 1106541

Facility: The Miriam Hospital

Location: Providence, RI

  • Two (2) years of verifiable experience providing information, education, intervention and/or referral services to culturally diverse populations. Recent experience (last 5 years) working as part of a multi-disciplinary team in a health care setting preferred.
  • Prior incarceration preferred.
  • Community Health Worker certification in Rhode Island preferred.
  • Experience working with health care systems, substance use treatment programs, and/or community-based organizations.
  • Experience with motivational interviewing, advising/counseling clients, and/or participating in health promotion and health education activities.
  • Excellent verbal and written communication skills.
  • Excellent organization, thorough record-keeping, follow through, and ability to juggle multiple priorities in fast-paced environment with multiple collaborators.
  • Demonstrated excellent attendance and reliability.
  • Willingness to travel to and work in various environments, including prison/jail settings, street outreach, home visits at SRO, patient’s residence or homeless encampment.
  • Basic computer skills, including Microsoft Office.
  • Valid driver’s license and excellent driving record and reliable personal transportation.
  • Experience living or working in South Providence and experience working with formerly incarcerated individuals, LGBT individuals, and/or people with severe mental health issues preferred.
  • Prior experience using an electronic health record preferred.
  • Bilingual English/Spanish preferred.

Under supervision of the Director of the Lifespan Community Health Institute and with oversight from the Center for Primary Care and Center for Prisoner Health and Human Rights Transitions Clinic teams, the Transitions Clinic CHW is responsible for performing the following essential job functions:
  • Recruits patients to the Center for Primary Care’s Transitions Clinic Program by conducting outreach activities at the Rhode Island Department of Corrections Adult Correctional Institutions and in the community.
  • Builds trust with recently released chronically ill individuals with co-morbid substance use and mental illness to provide support, empowerment, education and case management services.
  • Advises patients and others regarding health care and other community services available to them; assists patients in utilizing services; makes follow-up contacts when required.
  • Conducts periodic assessments of patient’s physical activity, dietary habits, cigarette smoking habits, housing and employment status, and social and economic resources.
  • Educates clients with chronic illness about evidence-based standards of care and self-management of their chronic illness under the direction of CPC staff.
  • Educates patients about the health care system, appropriate sites of care, and self-navigation to help them build skills to become self-sufficient and manage their health independently.
  • Documents work with patients through appropriate record keeping that follows the clinic’s policies and procedures; assists with gathering data relevant to program evaluation as appropriate.
  • Operates effectively in a multi-disciplinary clinical setting by participating regularly in clinic program meetings and attending patient medical visits upon request.
  • Participates in team meetings and assist as needed in any activities related to the clinic or the Lifespan Community Health Institute.
  • Serves as liaison between the professional staff and the community; including developing relationships with various stakeholders in the re-entry community.
  • May transport ambulatory patients between their homes and clinics, hospitals or other social agencies, and meet with patients at home, in the hospital, or in community settings other than the Center for Primary Care.
  • Attends ongoing training for community health workers.
  • Practices clear, effective, consistent communication with clients and colleagues.
  • Demonstrates privacy and confidentiality, meeting all related training and practice requirements of the Lifespan system.
  • Works nights and weekends as required.
  • Other duties as assigned.