Community Health Worker

This job serves as a liaison and mediator between members, providers, community centers, and the Organization. Works independently with the member and, when necessary, in the community, engaging members within a specific target population as defined by the Plan. Works with members to provide basic health literacy, linkage to community resources, and assistance navigating the healthcare system, and brings education and support to members in the community and serves as a healthcare advocate for members. The goal is to reach out and engage members to improve health outcomes, close care gaps, and improve overall wellness by connecting members to providers, public and private benefits, and community resources, and develop partnerships with community centers and local community-based resources to support the needs of the members as well as the community. The incumbent works closely with the care management department to refer members for additional support and education beyond the job's scope of practice.

Responsibilities

• Educate members about additional opportunities for public and private benefits.
• Initiate outreach efforts, telephonically and when appropriate face-to-face related to targeted preventive health, care transitions, and chronic condition initiatives.
• Educate member(s) on the importance of targeted preventive health services, assess opportunity for care management intervention, and make appropriate referrals, including referrals to the Behavioral Health Managed Care Organization (BHMCO) and additional public and private benefits as needed. Contact member(s), providers, and community agencies to coordinate access to preventive health services.
• Develop a rapport with members and community centers to establish a supportive relationship that empowers members to take an active role in their health and wellness.
• Assist members with completing a Health Risk Assessment, identify / provide direction to managing healthcare barriers (, knowledge deficit, transportation, financial), scheduling appointments, and answering questions.
• Understand the Organization's lines of business and benefits for members to provide accurate and current information to members in the community.
• Contribute to the development and preparation of educational materials for members and providers.
• Provide summary and outcomes of training to management and peers.
• Participate in the development of peffective programs mmeasurablee and innovative, with a special emphasis on reachinatreaching at-risk
• Represent the company at community events, including events sponsored by community centers.
• Collaborate with human services providers such as Head Start Programs, WIC, community centers, and homeless shelters, as well as state agencies such as Children and Youth Services (CYS) and juvenile probation, in the identification and outreach to members in need of services.
• Other duties as assigned or requested.

Required Qualifications

Preferred Qualifications