Community Health Worker - NE Based

Blue Cross and Blue Shield of Nebraska • NE

114d

About The Position

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community. Candidates applying to this remote position are required to live in the state of Nebraska or local Omaha metro area. The community health worker (CHW) will support and coach at-risk patients to manage their own health and assist them in navigating the health care and social service systems. Community Health Workers (CHWs) bridge the gap between health care providers and people in need of social care. They serve as a link between the patient and the health or social service agencies.

Requirements

• High School diploma or GED required.
• Willingness and ability to travel to BCBSNE member homes and community-based settings in NE.
• Experience working with underserved and diverse populations in community settings.
• Experience in navigating health and social service systems.
• The ability to support, coach and motivate patients to reach their goals.
• Good interpersonal skills with ability to relate to diverse groups of people and people on all levels.
• The ability to meet or exceed the attendance and timeliness requirements of their departments.
• Ability to prioritize workload and manage multiple tasks with different deadlines.

Nice To Haves

• The ability to speak other languages.
• Additional certifications and education in community health.
• Associates or bachelor’s degree in healthcare field.
• CPR certification.
• Strong PC proficiency and MS Office skills.

Responsibilities

• Assist patients in the community—through home visits, attending medical appointments, and accessing other community-based resources.
• Be onsite at assigned provider or hospital system and build relationships with site staff.
• Review referral forms, needs assessment screeners, or Electronic Medical Record data and determine appropriateness for program participation in conjunction with Care Management team, and provide active referrals to other community resources.
• Complete all telephone and face to face contacts with members in a timely and professional manner.
• Complete enrollment and other needed documentation and document in approved format in a timely manner.
• Complete client-centered treatment goals in collaboration with members and review progress in meeting goals routinely and at identified check-in times.
• Assist member to schedule medical and social service appointments and attend appointments as needed or requested.
• Assist with medical and behavioral health referrals to ensure client access and follow-through.
• Ensure member’s access to interpreters and translators for medical and social service appointments.
• Assist member in securing transportation to medical and social service appointments.
• Assist member in obtaining necessary medications through member assistance programs and other reduced cost programs.
• Assist members in accessing and understanding necessary health and wellness information provided by their medical provider and clinic.
• Provide support and education to members to assist them in adhering to medical recommendations and taking medications as prescribed.
• Provide regular and timely updates to medical providers, referral sources, and assigned clinics on members’ progress to meet treatment goals and to troubleshoot any problems or concerns.
• Complete all required documentation and data tracking in a detailed and timely manner.
• Attend and actively participate in all trainings and meetings.
• Support quality management and program evaluation activities through ongoing quality improvement process engagement.
• Assist with all other duties assigned.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees