Bilingual Spanish Community Health Worker (West LA)

SCAN Health Insurance•Los Angeles, CA

2d•$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 is an integral part of the care team, working with members by phone and in person to implement care plans, advocate for members, and provide member-centered interventions. The position works remotely and in the field about 75% of the time in West LA and surrounding areas. Travel within the assigned area is required more than 50% of the time. The worker serves high-risk members, including people experiencing homelessness, people at risk for avoidable hospital or emergency department use, adults at risk of long-term care institutionalization, and nursing facility residents transitioning back to the community. The role works under direct supervision, handles basic issues, and refers more complex issues to higher-level staff.

Requirements

High school diploma or equivalent experience.
Bilingual English/Spanish proficiency is 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.
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 independent living.
Assess Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports and assist the Registered Nurse in determining Nursing Facility Level of Care.
Support member well-being through observation, positive communication, and motivational interviewing.
Conduct in-person or phone visits to address care barriers, encourage engagement in primary and preventive care, and support individualized care plan implementation.
Provide care coordination and help members and families 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 designated populations of focus, including people experiencing homelessness, people at risk for avoidable hospital or emergency department use, adults at risk of long-term care institutionalization, and nursing facility residents transitioning back to the community.
Implement personalized care plans that address high-risk members’ medical and social needs and incorporate realistic health goals and members’ wishes.
Participate in interdisciplinary planning and case conference meetings to support person-centered care and members transitioning from inpatient or institutional settings.
Document care plans, service plans, and progress notes accurately and within established timeframes, following SNP policies.
Build relationships with community organizations, including senior and wellness centers, housing outreach events, 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.