Community Health Worker

Description

The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors.The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs.

FLSA StatusNon-ExemptSalary RangeReports ToLicensed Clinical Social WorkerDirect ReportsNoneLocationMonterey / Salinas, CATravelUp to 80%Work TypeRegularScheduleFull-Time (40 hours)Part-Time (20 hours) Position Description :

Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.

• Provide ongoing follow-up, basic motivational interviewing, and goal setting with
• patients / families.
• Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure.
• Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well-being.
• Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member.
• Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
• Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed.
• Documents interactions with members and on behalf of members in medical record
• Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
• Help patients set personal health related goals and attend appointments.
• Provide referrals for services to community agencies as appropriate.
• Help patients connect with transportation resources and provide appointment reminders in special circumstances.
• Exhibit excellent working relations with patients, visitors and staff,
• Effectively communicating CHS’ mission.
• Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
• Work collaboratively with other clinical personnel assigned to the same patient.
• Knowledgeable about community resources appropriate to needs of patients / families.
• Responsible for providing consistent communication to the Case Manager to evaluate patient / family status, ensuring that provided information, and reports clearly describe progress.
• Act as a patient advocate and liaison between the patient / family and community service agencies.
• Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
• Manage assigned caseload of patients.
• Always maintain HIPPA compliance.

Competencies :

Position Expectations :

Qualifications :

Benefits : As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here : . About COPE Health Solutions

COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit . To Apply : To apply for this position or for more information about COPE Health Solutions, visit us at .