Community Health Navigator & Outreach Specialist - MA/CNA/LPN

Esse Health•Creve Coeur, MO

12d•$21 - $26•Onsite

About The Position

Esse Health is seeking a Community Health Navigator & Outreach Specialist to be based out of their Central Office/HUB in Town & Country. This role is part of the care management team, partnering with Primary Care Physicians to improve patient health outcomes. The Community Health Worker (CHW) is responsible for connecting patients and their families with community services. They will act as a liaison between providers, assist with enrollment in services and community resources, and deliver culturally competent care. The role involves both face-to-face and telephonic interactions, ensuring patients have the necessary support, resources, education, follow-up appointments, and home care to enhance outcomes and reduce re-hospitalization risks.

Requirements

Medical Assistant (MA) certification or Community Health Worker (CHW) accreditation.
1-3 minimum years of experience in case management, care coordination, and/or community outreach.
Knowledge of and experience working with Medicare and value-based care populations, including familiarity with covered benefits and available services.
Ability and willingness to travel locally within a 45-mile radius from 63141 (utilizing personal vehicle).
Proficiency in using electronic medical record (EMR) systems.
Strong computer skills, including proficiency with Microsoft Outlook, Microsoft Teams, and multiple web-based applications.
Demonstrated ability to work independently, manage a caseload, prioritize tasks, and meet established deadlines.
Excellent attention to detail with strong organizational and time management skills.
Effective written and verbal communication skills, with the ability to interact professionally with patients, caregivers, and interdisciplinary teams.

Nice To Haves

Licensure or certification as a Licensed Practical Nurse (LPN), Certified Nursing Assistant (CNA)/Home Health Aide (HHA), or Certified Medical Assistant (CMA), preferred.

Responsibilities

Completes applications for community and health-related resources; prepares documentation for provider visits; and provides additional administrative support as needed.
Tracks, monitors, and follows up on referrals and outcomes related to pharmacy services, durable medical equipment (DME), and home care.
Assists patients with identifying, arranging, and scheduling transportation; advocates on behalf of patients; supports clinical staff (including administering health screenings, as applicable); and coordinates care by identifying resources and addressing barriers to access.
Develops, maintains, and regularly updates comprehensive resource inventories for assigned service areas across multiple states.
Recognizes situations requiring mandatory reporting and completes all reporting in accordance with applicable state regulations and organizational policies.
Provides care coordination services through both telephonic and in-person interactions.