Community Health Worker

Community Health Worker Job Description

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 outreach 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 which empowers members to take an active role in their health and wellness.

Assist members with completing a Health Risk Assessment, identifies / providing direction to managing healthcare barriers (i.e., knowledge deficit, transportation, financial), scheduling appointments, and answering questions.

Understand the Organization's lines of business and benefits for members in order to provide accurate and current information to member 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 programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members.

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

This is a telephonic role. Must have excellent communication skills.

1+ years of experience in a health care related customer service environment that would demonstrate the ability to positively impact the engagement of members in the organization's condition and case management programs

High School Diploma / GED

Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services

The ability to interact well with peers, supervisors and customers and work as a team member

Ability to solve problems independently and creatively and be proactive, self-directed, assertive and creative in problem solving and system planning

Ability to handle many tasks simultaneously and respond to customers and their issues promptly

Possess good written and oral communication skills

Have an appreciation of cultural diversity and sensitivity towards the Medicaid population and members with disabilities and chronic conditions with demonstrated expertise in topics related to cultural competency including working with members with limited English proficiency. Be aware of issues members face related to healthcare including transportation, childcare, lack of knowledge concerning preventive health, distrust of the system as well as other personal, social, financial barriers

Must demonstrate patience and empathy when interacting with members and all internal / external customers

Proficient computer skills

Data entry skills

Must be professional

Travel up to 10-25%, if at all

Preferred Qualifications

Certified Community Health Worker (CCHW) Certification

Basic medical terminology background

Experience with Medicaid and individuals with disabilities and chronic health conditions.

Community Health Worker experience

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.