Community Health Worker

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Community Health Worker

Care Management Full Time Albemarle, NC, US

About CCNC:

From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care.

CCNC Mission Statement

To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems.

Position Summary

The Community Health Worker (CHW) position is a non-clinician role that works in collaboration with the primary care health team to support the multi-disciplinary team approach of patient care by providing comprehensive, coordinated Community Health Worker interventions. The CHW will work as a link/liaison between the community and the primary care practices. The primary responsibilities are to build trusting relationships with members and connect them to care, eliminating barriers, and advocating for systemic changes along the way. Key performance indicators (completion of SDOH (Social Determinants of Health) and Health Risk screening, community outreach and culturally appropriate education, initiating new referrals to Care Management) and other organizational mandates as designated.

Community Health Workers (CHWs) help members improve their health outcomes by engaging with them in the environments where they live, work, learn, eat, and play. When integrated into primary care, CHWs bring a unique skill set that bridges healthcare and community-based support. They connect members to primary care and community resources, provide health education, support chronic disease self-management, and assist with healthcare system navigation. CHWs also collaborate with care teams to develop and implement processes that ensure members have timely access to services, information, resources, and coordinated care, ultimately supporting improved health outcomes and overall well-being.

Essential Functions

• Abide by department guidelines, 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 goals, objectives, and standards.
• Participate in community population-based initiatives that identify members out of care, enhance retention in care, self-management, and compliance with CCNC Care Management goals.
• Participate in assigned community-based activities, includingattending community events, developing community-based partners, conductingoutreach to potential new members, and making a referral for healthcare and services.
• Receive and document all referrals from various sources into the Care Management documentation platform.
• Verify eligibility and demographic information.
• Assist with administrative duties to the member as necessary.
• Provide information for access and coordination of resources.
• Assist member with care coordination and health care system navigation.
• Advocate for members.
• Access multiple EHR’s to obtain and upload into the care management platform.
• Access to Hospital/Data or Electronic Medical Record system will be required, as necessary.
• 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
• 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
• 2- or 4-year degree in health-related field preferred
• Bilingual in English and Spanish preferred
• Maintain a U.S. valid driver’s license with current auto liability insurance
• NC CHW Certification required

Knowledge, Skills, and Abilities

• Knowledge of and experience working in patient or clinical data systems
• Computer skills required including various office software and the internet; experience with MS Office software preferred
• Knowledge of state and federal benefits systemExcellent 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
• Knowledge of medical terminology
• Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives
• Able to shift strategy or approach in response to the demands of a situation

Why Join Us:

• Make a meaningful impact on youth and families across North Carolina
• Work with a supportive and collaborative care teamCompetitive Benefits Package effective first day of employment
• Opportunities for growth, training, and bonus incentives*

Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems?

Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems?