Bilingual Spanish Community Health Worker (San Bernardino, CA)

SCAN Health Insurance•San Bernardino, CA

12d•$22 - $32•Remote

About The Position

The Bilingual Spanish Community Health Worker enhances frail seniors’ ability to age in place, manage their health, navigate the health care system, and live independently by providing person-centered care in accordance with Enhanced Care Management (ECM) requirements. The role works directly with members by phone and in person to implement care plans, advocate for members, and provide member-centered interventions as part of the care team. The position works remotely and in the field approximately 75% of the time in the San Bernardino area, including Colton, Rialto, and surrounding communities. Travel in the assigned area is required more than 50% of the time. The role performs work under direct supervision, handles basic issues, and refers more complex issues to higher-level staff. The employee is expected to support SCAN’s vision and goals and to be curious about how AI can help transform its operations and member services.

Requirements

High school diploma or equivalent experience.
Bilingual English/Spanish proficiency required; a test may be administered to assess proficiency.
At least 1 year of community engagement experience.
Valid driver’s license, automobile insurance, and reliable transportation for required travel of more than 50% of the time in the assigned area.
Basic technical skills relevant to the functional area.
Basic problem-solving, organizational, and critical-thinking skills.
Good communication and interpersonal skills, including strong written and verbal communication.
Ability to collaborate effectively within a multidisciplinary team.
Ability to maintain confidentiality appropriately.
General understanding of NCQA standards and CMS and DHCS regulations.
Basic knowledge of medical terminology and abbreviations.
Basic understanding of local community resources for seniors.

Nice To Haves

Community Health Worker Certificate strongly preferred.
Experience with managed care, a health care environment, lived experience, or case management strongly preferred.
At least 1 year of experience working with seniors, conducting home visits, and working remotely strongly preferred.

Responsibilities

Collaborate in general assessments to identify chronic conditions and psychosocial challenges affecting members’ ability to live independently.
Assess Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports, and assist a Registered Nurse in determining Nursing Facility Level of Care.
Support member well-being through observation, positive communication, and motivational interviewing.
Conduct face-to-face and telephone visits to address care barriers, encourage engagement in primary and preventive care, and support individualized care-plan implementation.
Provide care coordination and empower members and families to manage chronic conditions through coaching, education, health care navigation, advocacy, appointment accompaniment, and referrals to community, county, and state resources.
Perform Enhanced Care Management activities for specified populations of focus: people experiencing homelessness; people at risk for avoidable hospital or emergency department utilization; adults living in the community at risk of long-term-care institutionalization; and adult nursing-facility residents transitioning back to the community.
Implement personalized care plans reflecting high-risk members’ medical and social needs and realistic health goals that support members’ wishes.
Participate in interdisciplinary planning and case-conference meetings to support person-centered care and members’ needs following discharge from an inpatient or institutional setting.
Maintain timely and accurate documentation of care plans, service plans, and progress notes in accordance with established timeframes and SNP policies.
Build relationships with community organizations, including senior and wellness centers, housing outreach programs, shelters, landlords, and legal aid providers.
Use department procedures, workflows, job aids, and training materials; identify work-process barriers and raise them with a supervisor or manager.
Support the achievement of SCAN’s vision and goals and perform other duties as assigned.