Community Health Worker (Care Neighborhood)

Care Neighborhood (CN) Enhanced Care Management (ECM) is an innovative program to support and empower identified high-risk, high-needs patients to improve their health outcomes. The multidisciplinary team works together to support patients and address the social drivers that impact health, such as food, housing, transport, and financial resources.

The Community Health Worker (CHW) will work primarily with the clinic’s patients.  There will be a period of orientation with the central team and within TVHC. After this, the CHW will work in the clinic and in the field. Activities include outreach and engagement, development of the care plan, linkage of the patient with resources (food, housing, transport, financial) as well as linking the patient with care within the clinic. Ideally, the CHW will be a trusted member of the community in which they will work.  This relationship will enable the CHW to serve as a liaison between health and...