Community Health Worker

Job Description

Position Summary

The Community Health Worker (CHW) position is a non-clinician role that works with the primary care health team as a multi-disciplinary team member as a link/liaison between the community and the primary care practices also known at Advance Medical Homes (AMH). CHWs will be intentional on carrying out community in-reach— bringing the community voice into the clinical setting. CHWs are trusted community members that share similarities with the community members they serve. The CHW will focus on improving access to AMHs by providing culturally appropriate health education, navigating social services, facilitating communication, providing direct services (health screenings, basic first aid, mental health first aid, informal counseling, translation and interpretation services), and advocating for the needs of the Medicaid population.

Community Health Workers may directly assist members in improving their ability to improve their health by going to members in their communities and meeting them physically, mentally and socially. They also help design and implement systems to ensure members have access, knowledge, resources, and support from the Care Team.

Essential Functions

Abide by CCNC Care Management department guidelines, CCNC company policies, and HIPAA regulations.

Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded.

Understand and uphold CCNC Mission, Vision, and Values.

Successfully complete and be able to demonstrate the CHW Core Competency Skills to include:

Communication

Interpersonal

Service

Capacity Building

Advocacy

Education

Outreach

Knowledge

Personal

Participate in community population-based initiatives that identify members out of care, enhance retention in care, empower self-management, and compliance with CCNC Care Management goals.

Participate and/or initiate community-based activities, including outreach to targeted populations to include selected chronic conditions, potential new members, and make referrals for healthcare and services.

Receive and document all referrals from various sources into the Care Management documentation platform.

Verify Medicaid eligibility and demographic information.

Provide information for access and coordination of resources.

Assist member with care coordination and health care system navigation.

Advocate for members.

Access and document in multiple EHR’s to include Hospitals, AMH EHRs and CCNC care management platform.

Notify supervisor promptly of any issues with carrying out any duties assigned.

Attend departmental and corporate meetings, local and regional training, or other events as required.

Travel using personal vehicle will be required within the region and/or the state.

Perform other duties that assist in keeping the operations organized and functional.

Qualifications

High school diploma or GED required

2-year or 4-year degree in health-related field preferred

CHW Certification preferred (not required but must be obtained within 1 year after successful completion of orientation)

2-4 years minimum experience in a human services or health care setting with demonstrated knowledge of or ability work and/or within a targeted community

Bilingual in English and Spanish preferred

Maintain a U.S. valid driver’s license with current auto liability insurance Knowledge, Skills, and Abilities

Knowledge of and experience working in patient or clinical data systems

Knowledge of geographical community resources that you are applying for

Knowledge of state and federal benefits system

Knowledge of medical terminology

Computer skills required including various office software and the internet; experience with MS Office software preferred

Ability to apply motivational interviewing skills in your communication

Excellent communication skills – oral and written

Proficient motivational interviewing skills, teach back method, and other patient engagement and retention techniques

Organizational and time management skills

Sensitivity to diversity of cultures, language barriers, health literacy and educational levels

Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives

Ability to shift strategy or approach in response to the demands of a situation Working Conditions

The job environment is a hybrid-environment to include community settings, AMH practices, and home environment.

Multiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur

Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time, lifting products >10 lbs., and standing long periods of time while at community events

Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices

Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds

Travel will be required within the region and/or the State

Full-time