Community Health Worker - Enhanced Care Management

Job Description

ABOUT US:

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

ROLE OVERVIEW and PURPOSE:

The Community Health Worker (CHW) is responsible for working effectively with Enhanced Care Management (ECM) members to improve their whole health through outreach and engagement activities, which are primarily field based. This position works collaboratively as part of the Enhanced Care Management team, members and families, and other professionals and works with the designated primary care provider (PCP) care team.

**This is a hybrid position; on site expectations are dependent on performance. Proposed schedule shifts: Mondays through Fridays. 9AM - 5:30PM or 8:30 AM - 5 PM.**

RESPONSIBILITIES:

Assists members in navigating the healthcare system by finding and following up by phone and in-person with eligible ECM members

Helps members participate in their medical and/or behavioral healthcare by overcoming barriers to care

Documents and shares member barriers with ECM team and PCP to improve care and outcomes

Utilizes evidence-based approaches when engaging with patients to increase their sense of control over their health, such as motivational interviewing to promote collaboration between patients and their medical/behavioral care team

Communicates and delivers easy to read information about health and wellness to the community and provides information on Home Health Plan (HHP) member benefits and services

Advocates on behalf of ECM members in the home, community, and provider organizations

Builds and maintains a positive working relationship with providers, including interactions within provider offices, phone, email, fax, and other approved communication methods

Assists the ECM team and providers to understand the culture, norms, beliefs, and preferences about patients and their communities by representing the community's voice

Helps create messages and materials that fit community culture and delivers messages to fit the culture of members

Works collaboratively within the ECM team to discuss responsibilities, task sharing, conflict resolution, and member case reviews

Collaborates on member care issues with other ECM team members

Participates in weekly case reviews and consults with the member's PCP after taking any clinical action

Ensures documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards

Participates in required staff meetings or other activities

EDUCATION/EXPERIENCE:

High school/GED required

Two years of healthcare, behavioral health, or social services industry experience required

Valid CA Driver’s License and proof of auto insurance required

Experience working in outreach and customer service within the medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues preferred

Bilingual (English/Spanish) preferred

ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities):

Ability to sufficiently engage members in a variety of settings (phone, in person/homes and/or care settings, such as hospitals)

Knowledgeable about the community the, especially non-professional resources and their reputation in the community

Ability to develop relationships with community members and leaders, including faith-based community

Skillful in decision-making and judgement, including knowing when to consult with the team, supervisors, and experts

Understanding of and sensitivity to mental health conditions and addictive disorders

Excellent verbal and written communication skills, including superior composition, typing and proofreading skills

Ability to interpret a variety of instructions in written, oral, diagram, or schedule form

Ability to successfully manage multiple tasks simultaneously

Excellent planning and organizational ability

Excellent teamwork and relationship building skills

Ability to work as part of a team as well as independently

Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

Ability to lift/carry 20 lbs/weight

Ability to stand for long periods of time

Pay range: $23.11 - $27.52 per hour, depending on experience

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs.

Full-time

Hybrid remote