Community Health Worker II
About The Position
The iCMP Plus program is a community, inter-professional team program that services MGBs highest risk Medicaid ACO population. The program is designed to reduce complication by supporting patients on their health care journey. Our Nurses, Social Workers, and Community Health Workers meet with patients and assess their health and social needs. Together, they identify barriers to good health and create a plan to address them. The team works with our patients and their providers to create a personal care plan to support the patient in achieving optimal health and well-being. Job Summary The Opportunity Provides advanced health education, outreach, and care coordination services to individuals and families in the community. Areas could include exercise, mental health, medication management, nutrition, health care system navigation, substance use and other health behaviors. Works closely with healthcare providers to ensure that patients receive appropriate care and support services to improve health outcomes. Conducts in-depth assessments of patient needs, goals, and barriers to achieving good health outcomes. Provides advanced health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions. Collaborates with healthcare providers to develop and implement care plans for patients with complex health needs. Assists patients in navigating the healthcare system and accessing appropriate services.
Requirements
- Bachelor's Degree Public Health, Social Work or other related field of study required. Related experience can be accepted in lieu of degree.
- 2+ years of experience in community health outreach, health education, or related field require
- Demonstrated ability to work effectively and provide advocacy for all populations and communities.
- Strong communication and interpersonal skills, with the ability to interact effectively with various populations.
- Ability to work independently and as part of a team.
- Basic computer skills, including Microsoft Office and database management.
Nice To Haves
- Community Health Worker certification
- Experience with community-based work, patient home visits, SUD, homelessness and a complex patient population
- Experience with Social Determinants of Health (SDOH), housing, food insecurity, transportation, utilities, employment, childcare assistance programs
- Experience helping patients or clients apply for state/federal programs/benefits (i.e. SSDI, SSI, SNAP) and advocating for the patient with appeals
- Knowledge of transportation resources (PT1)
- Bilingual skills preferred.
Responsibilities
- Provides advanced health education, outreach, and care coordination services to individuals and families in the community. Areas could include exercise, mental health, medication management, nutrition, health care system navigation, substance use and other health behaviors.
- Works closely with healthcare providers to ensure that patients receive appropriate care and support services to improve health outcomes.
- Conducts in-depth assessments of patient needs, goals, and barriers to achieving good health outcomes.
- Provides advanced health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions.
- Collaborates with healthcare providers to develop and implement care plans for patients with complex health needs.
- Assists patients in navigating the healthcare system and accessing appropriate services.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
