Community Health Worker (Full Time)

GENERAL DESCRIPTION

The Community Health Worker (CHW) is a part of an inter-disciplinary clinical care team at a health center who helps increase access to health services for people through outreach, encouraging engagement, education, and peer support.

SPECIFIC DUTIES AND JOB FUCTIONS

: Review monthly outreach list for each covered Health Plan and develop a plan with assistance from supervisor for prioritized outreach following MCHN best practices workflow. Document all outreach attempts in documentation tool and provide results monthly to allow for aggregate reporting to Health Plans. Provide direct education or engagement with contacted patients or connect to other resources for education as appropriate based upon initial assessment. Assist in maintaining assigned patient panels with covered Health Plans including helping patients change their primary care provider and supporting the Center in removing patients that are not served by the Center from its panels For newly assigned patients, coordinate a graduated intensity outreach program to engage patient in care. Assist contacted members with completion of assessment and address triggered interventions Contact assigned Health Plan members identified as either high or inappropriate utilizers of the emergency department and assist with scheduling follow-up appointment(s) with PCP or other health care staff (Behavioral Health, Dentist) as soon as possible. Provide education, including after-hours contact information, and resources to these members to contact their PCP if they believe urgent services are needed. This provides the opportunity to address needs through the Health Center services. Utilize reports to prioritize patient outreach attempts to close gaps in care (e.g. missing preventive service, poor chronic disease outcome etc.). Facilitate scheduling of required visit / testing and eliminate barriers to care as appropriate. Conduct SDOH screening and assessment using tools identified to uncover individuals' needs and connect members with available community resources addressing, but not limited to, the SDOH Report the appropriate detailed documentation utilizing the patient tracking report Maintain confidentiality and follows HIPAA standards in safeguarding patient information. Educate patients in taking and documenting at home vitals such as blood pressure monitoring. Educate patients in the use of remote patient monitoring devices. Assist with collecting vital patient records from the Health Information Exchange (HIE) Attend community outreach events as determined by management to promote patient/community health and education Participate actively in regular supervisory and team meetings and training sessions Conduct outbound telephone outreach to patients to address care gaps and schedule preventive services, contributing to improved HEDIS quality measure performance. Other duties assigned by management

KNOWLEDGE, SKILLS AND ABILITIES

Must be well-organized, detail-oriented, and have the ability to multi-task in a demanding and constantly changing environment A strong commitment to serving the underserved and vulnerable populations of the local community. Strong interpersonal communication skills and the ability to communicate easily with others, including demonstrating active listening skills Ability to navigate the health care system and advocate for others Demonstrate flexibility in addressing changing community needs and program environment Experience in community work, education, or health care especially health plan experience strongly desired. Preferred proficiency in Microsoft Word, Excel, and Outlook An ability to gain respect and build rapport with community members

PERSONAL ATTRIBUTES

Must maintain strict confidentiality in performing the assigned duties. Must be honest and trustworthy, respectful of others. Must be flexible and possess cultural awareness and sensitivity. Must possess excellent written and oral skills. Must demonstrate a commitment to the mission of MyCare Health Center.

QUALIFICATIONS

High school diploma or equivalent required. Successful candidates must currently be certified as a CHW or will be required to complete the paraprofessional CHW Program within 180 days of hire. Demonstrated competence in working cooperatively with physicians and other health care professionals, Completion of background check. Completion of drug screen. Must obtain and maintain CPR (BLS) certification

BENEFITS

After 90 Days of Employment, benefits may vary based on employment status Student loan forgiveness programs (based on position and available federal programs) 11 Paid Holidays Annually (1 floating) Up to 160 hours of annual PTO (based on start date) Affordable premiums for medical, dental, and vision insurance coverage for individuals and families No cost life insurance coverage (additional coverage optional for a fee) Long term disability insurance 401K and Roth 401k retirement plans with discretionary employer match Flexible Spending Account (FSA) Short term disability insurance (optional for a fee) Employee Assistance Program (EAP) MyCare Health Center is an Equal Opportunity Employer. Applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristics protected by applicable law.