Community Health Worker - Medicaid ACO

Job Description

The Community Health Worker (CHW) delivers culturally-competent services to help patients navigate and access community services, other resources and adopt health behaviors. The CHW assists with care coordination tasks such as setting up appointments and/or transportation; providing basic patient education; assistance with navigating medical and behavioral health systems; and facilitating communications with providers and other care team members. They help patients’ self-management by identifying their non-medical needs, assisting with care plan development, and working towards patient-centered goals.

• Supports the care team by communicating with patients to follow up after appointments, to confirm materials were received, to help coordinate non-medical services, and to obtain needed medical supplies and devices
• Coordinates referrals to community partners, services and resources, researches resources, maintains resource databases, and establishes and maintains relationships with local/community institutions
• Acts as a patient advocate and liaison among internal and external providers, and community resources to integrate complex services and identify gaps and challenges in care and communication
• Conducts telephonic and face to face patient outreach to activate patients to become involved in managing their health, and collaborating with the healthcare team to develop patient-centered care plans and patient goals
• Identifies the need for services based on barriers (e.g. language, literacy, and cultural preferences)
• Provides patient-centered health promotion, coaching on self-management and education
• Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working group’s achievement of goals, and tactics to meet the overall organizational goals
• Community outreach, such as home visits and health screenings will also be required.

Qualifications

• Lives in and/or has familiarity with the target community and feels connected to that community
• Demonstrates ability to work well with people of various ages, backgrounds, ethnicities, cultures and life experiences
• Experience working in a multi-cultural setting
• Experience working in a community-based setting and clinically-based settings
• Excellent interpersonal and communication skills telephonically, as well as face to face
• Strong customer services skills
• Detail oriented, with strong organizational skills and multi-tasking abilities
• Ability to work independently with minimal supervision and as part of a team
• Knowledge of medical terminology strongly preferred
• Very strong working knowledge and proficiency with technology and business software (Microsoft Office)
• Fluency in second language preferred but not required

• Current High School diploma or GED required. College degree preferred in related areas such as health sciences, health care, customer services, administration etc.
• 1 – 3 years of experience in healthcare related field such as hospital, health center, home health provider, community based agency. Customer service a plus

• Not applicable at this time

• Work is in a fast paced office-based setting.
• Reliable transportation is necessary. The NEQCA office is located in Braintree with travel to Local Care Organizations and community hospitals intermittently.
• Work sometimes includes meetings outside of normal business hours

Additional Information

All your information will be kept confidential according to EEO guidelines.