The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs.
FLSA Status
Non-Exempt
Salary Range
$26.00 - $30.00 per hour
Reports To
Licensed Clinical Social Worker
Direct Reports
None
Location
Riverside, CA
Travel
Up to 80%
Work Type
Regular
Schedule
Full Time

POSITION DESCRIPTION:

• Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need.
• Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management.
• Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with
• patients/families.
• Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure.
• Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well-being.
• Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member.
• Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
• Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed.
• Documents interactions with members and on behalf of members in medical record
• Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
• Help patients set personal health related goals and attend appointments.
• Provide referrals for services to community agencies as appropriate.
• Help patients connect with transportation resources and provide appointment reminders in special circumstances.
• Exhibit excellent working relations with patients, visitors and staff,
• Effectively communicating CHS’ mission.
• Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
• Work collaboratively with other clinical personnel assigned to the same patient.
• Knowledgeable about community resources appropriate to needs of patients/families.
• Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
• Act as a patient advocate and liaison between the patient/family and community service agencies.
• Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
• Manage assigned caseload of patients.
• Always maintain HIPPA compliance.

QUALIFICATIONS:

• Valid California Driver’s License
• High school graduate or equivalent required; Associate’s Degree in Business Administration or related field preferred.
• Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred.
• Written and oral fluency in English and Spanish is preferred.
• Experience working in a multi-cultural setting.
• Willing to learn and understand a variety of different cultures, perspectives, and norms.
• Experience working in a community-based setting for at least 1 to 2 years preferred.
• Basic computer skills required; electronic medical record (EMR) experience preferred.
• Understand the community served, community connectedness.
• Good communication skills, such as listening well, and using language appropriately.
• Ability and willingness to provide emotional support, encouragement, and motivation to patients.

WHAT WE DO:

COPE Health Solutions (CHS) is a national tech enabled services firm powering success in risk arrangements and development of the future workforce for payers and providers. Our team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers, de-risking the roadmap to advanced value-based payment.
Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.
COPE Health Solutions’ Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization’s unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality.
Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry’s most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.

Please refer the Job description for details