Job Description

Will support students and families that attend schools in the Corewell Health School Based Clinic services area. Provides peer support and role modeling related to the improvement of life skills and health/wellness to individuals and their families during personal interactions including home visits, telephone calls, etc. Instructs individuals and their families about wellness, chronic disease prevention and self-management. Assists clients and their families with accessing appropriate community resources. Assists with the coordination of group support programs and provides ongoing contact. Cultural competency and shared-life experiences with client population is preferred. Must have reliable transportation and be able to drive to and from appointments. Participates in community events and activities that promote the awareness of health maintenance and disease prevention. Conducts home visits to determine client and family needs. Assists with the development and implementation of care plans to meet identified needs and provides program services. Follows up with clients, families, and community agencies to evaluate effectiveness of services provided and to develop a proactive plan for future needs. Assists clients with arranging and keeping medical appointments. Assists clients in accessing community resources such as food, clothing, shelter, and medical insurance. Mentors, empowers and advocates for clients and families to help them increase independence and skills. Refers patients with social, emotional, and other challenges to appropriate service agencies for assistance. Communicates and collaborates with the clients and their families, program staff, and other professionals involved in the care of clients to coordinate services and to facilitate a supportive relationship between the client and their health care provider(s). Serves as a resource to program staff about situational and cultural factors impacting the client, family, and environment. Teaches clients and families about wellness, disease prevention, and self-management. Documents services including assessments, plans, and periodic evaluations of goals, education, and other pertinent program data. Documents trends and changes in the health of the community and provides input into program development and evaluation. Coordinates group meetings under the direction of the Program Supervisor. Collects and documents program data and other necessary evaluation data to ensure timelines and accuracy. Discusses trends, challenges, and other issues regarding data collection with the Program Supervisor.

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