Community Health Worker - Strategic Insurance Devt - Full Time

Community Health Worker

As the Community Health Worker, you will contribute to improving the health of communities and individuals by screening for Health-Related Social Needs (HRSNs), connecting them to services, and providing health education and community resource support. You will work together with healthcare systems, social service providers, and community-based organizations to make resources more accessible and improve the quality-of-service delivery through your compassionate, culturally competent support and coordination.

Responsibilities:

• Complete screenings of the patient population for Social Determinants of Health (SDOH).
• Document findings in EPIC and other required platforms.
• Work with Medicaid Members to connect them to the appropriate services to address their HRSNs that align with the Members' preferences.
• Document interventions in EPIC and other required platforms.
• Assist member with scheduling transportation through MAS or other available/appropriate resource.
• Follow up with the Member to confirm the services were accessed and understand if their needs were met.
• Establish and maintain relationships with community agencies, service providers, and stakeholders to stay informed about available resources and referral pathways. Maintain up-to-date knowledge of community resources appropriate to the needs of participants/families and act as an advocate between the participant/family and community service agencies.
• Assist patients in completing preventative screenings, healthcare visits, immunizations, etc., as identified through Health Maintenance or payer quality measure reports.
• Manage assigned caseload of Medicaid members.
• Provide support for people with behavioral health diagnoses and/or people who use drugs without using stigmatizing language or practices. Communicate compassionately with all individuals seeking services.
• Remove barriers to access otherwise present due to the individuals' limitations, disabilities, resources, etc.
• Develop Social Care Plans for eligible Members that include a summary of Member needs, eligibility, services to which Members are referred, and status of those referrals. Update Social Care plans as needed.
• Monitor and respond to communication(s) received from Members. Promote appropriate use of healthcare resources by fostering a consistent connection with primary care. Educate patients on when to use walk-in clinics or the Emergency Room.
• Outreach to attributed patients that are not scheduled for appointments.
• Notify payers of patients who are in fact attributed to non-Guthrie PCP.

Qualifications:

• High school diploma or equivalent; additional education/experience in healthcare or social services is a plus.
• Experience working with Medicaid populations and understanding of social determinants of health (SDOH).
• Possesses strong communication skills (written and verbal). Communicates compassionately and professionally with all individuals seeking assistance.
• Empathy and a commitment to improving patient outcomes.
• Navigate complex systems of care with critical thinking, patience and perseverance.
• Negotiation skills and the ability to develop strong working relationships
• Proficient in planning & time management
• Possesses adaptability skills (both in attitude and action). Ability to work independently with minimal supervision, and as part of a team.
• Must have strong personal computer program skills including Microsoft Outlook, Microsoft Office (Word, Excel PowerPoint etc.)
• Participation / facilitation of meetings either in person or via virtual platforms such as Teams, Zoom

Preferred Qualifications:

• Certification as a Community Health Worker.
• Proficiency in using EPIC or similar electronic health record systems.
• Familiarity with the U.S. healthcare system and federally funded healthcare programs
• Bilingual skills.

Working Conditions:

• This position may require travel within the community to meet with patients and Community Based Organizations.
• Flexibility in working hours to accommodate patient needs.
• May assume additional responsibilities, as required.

The pay range for this position is $20.38-$31.81/hr, DOE

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