CalAIM Community Health Worker - Shasta County

Pacific Health Group-posted 3 months ago
$21 - $24/Yr
Full-time • Entry Level
Redding, CA
51-100 employees
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At Pacific Health Group, we are at the forefront of revolutionizing healthcare, and you will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our CalAIM programs. If you are passionate about making a difference and have the skills to lead in this dynamic environment, we invite you to join our team. The CalAIM Community Health Worker (CHW) serves as a vital link between healthcare systems and vulnerable populations under California's CalAIM (California Advancing and Innovating Medi-Cal) initiative. This role focuses on addressing social determinants of health, improving health outcomes, and reducing health disparities in underserved communities through direct service delivery, community outreach, and comprehensive care coordination.

  • Develop and maintain written Plans of Care for each member (maximum 12-month duration)
  • Conduct comprehensive ADL and other assessments to support care planning
  • Provide up to 12 units (6 hours) of care per member per recommendation period
  • Perform health screenings and assessments using standardized tools including: Social Determinants of Health Assessment (SDOH 5-Q), PHQ-9 and PHQ-2 mental health screenings, Hunger Vital Sign Screening Tool, Functional status and ADLs assessments
  • Conduct in-home environmental trigger assessments for asthma patients (up to 2 visits annually)
  • Provide health education using standardized curricula consistent with established healthcare standards
  • Offer coaching and goal setting to improve members' health and self-management abilities
  • Facilitate health navigation services to help members access care and understand healthcare systems
  • Connect members to community resources necessary to promote health
  • Address healthcare barriers including medical translation/interpretation and transportation services
  • Serve as cultural liaison and assist licensed providers in care plan development
  • Conduct community outreach to identify and engage high-risk, hard-to-reach individuals
  • Organize and participate in health screening and wellness fairs
  • Coordinate mobile health clinics and vaccination drives
  • Facilitate community walks, fitness events, and wellness activities
  • Distribute hygiene and wellness kits, coordinate food and nutrition drives
  • Canvas neighborhoods to identify social determinants of health
  • Facilitate group sessions for up to 8 Medi-Cal members per billable session
  • Lead workshops on various health topics including domestic violence, tobacco cessation, and stress management
  • Assist members with enrollment in government assistance programs
  • Provide individual support and advocacy to prevent health condition onset or exacerbation
  • Schedule medical appointments and provide transportation coordination
  • Maintain accurate and timely documentation of all client interactions and outcomes
  • Collaborate with interdisciplinary care teams including RNs and licensed providers
  • Participate in case conferences and team meetings
  • Enter and maintain electronic health records and compile reports
  • High school diploma or equivalent; Associate's or Bachelor's degree in a related field preferred
  • Prior Community Health Worker certification highly desired; willingness to obtain certification within 18 months of hire if not already certified
  • Minimum of 2 years of experience in community health, social services, or related field
  • Strong understanding of local community resources and social determinants of health
  • Excellent interpersonal and communication skills
  • Proficiency in electronic health records and basic computer applications
  • Bilingual skills (English/Spanish, or other relevant languages) required
  • Valid driver's license and reliable transportation with valid insurance
  • Experience with chronic conditions including diabetes, hypertension, COPD, mental health disorders, and substance use disorders
  • Knowledge of Medi-Cal policies and billing procedures
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
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