Complete an initial assessment with the patient and provider to identify the specific areas of focus for the CHW role with particularly high risk patients.
June 30, 2020
Demonstrates skills/abilities in person-centered approached to care plan development and establishing and maintaining supportive relationships.
July 20, 2020
Works effectively with individuals from diverse backgrounds in reducing cultural and socio-economic barriers between clients and available institutional resources.
August 02, 2020
Assists clients in understanding care plans and instructions, accessing needed services, and navigation of health care systems, including the securing and use of a medical home to improve access to necessary medical care and social services.
August 10, 2020
Maintains, monitors, and performs data entry in the Community Services Interest List (CSIL) system and the HHS Enterprise Administrative Report and Tracking System (HEART).
August 21, 2020
Participates in the development and implementation of the Individual Service Plans which require work activities in the facility or in the community with single or multiple participants who are ambulatory and non-ambulatory.
August 21, 2020
Performs interest list contacts, sends interest list letters to correct addresses and researches mail returned undeliverable using the Service Authorization System (SAS) and Texas Integrated Eligibility Redesign System (TIERS).
September 10, 2020
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
September 22, 2020
Provide daily oversight of an assigned panel of candidates/members, delivering interventions designed to reduce unnecessary emergency department (ED)/emergency room (ER) and inpatient (IP) utilization, increase connection to primary care, and demonstrate improved health outcomes for the served population.
October 02, 2020
Requires the use of Crisis Prevention Intervention techniques including de-escalation techniques as outlined in the Behavior Support Plan and/or Restrictive Procedure Plans.
October 08, 2020