Methuen, Massachusetts30+ days ago
p>Under the leadership and direction of the Director of Population Health, and in collaboration with Integrated Care Team leadership, the ICT Community Health Worker plays a pivotal role in supporting care coordination functions, including but not limited to assessment and care planning for patients screening positive for Health Related Social Needs (HRSN), patient engagement strategies, and transitions of care management. Implement the plan of care, including providing health education, facilitating access to needed services such as assists patients in obtaining or stabilizing housing, finances, food, utilities, educational/vocational opportunities, and community supports.