Community Health Worker - Enhanced Care Management

Neighborhood Healthcare•Temecula, CA

7d•Hybrid

About The Position

The Community Health Worker (CHW) works with Enhanced Care Management (ECM) members to improve their whole health through outreach and engagement, primarily in the field. The CHW collaborates with the ECM team, members and families, other professionals, and the designated primary care provider (PCP) care team. This is a hybrid position, with on-site expectations dependent on performance. Proposed schedule: Monday through Friday, 8:30 AM–5:00 PM, with a 30-minute lunch. Neighborhood is a private, nonprofit 501(c)(3) community health organization serving more than 100,000 people annually through medical, dental, and behavioral health services. Its mission is to improve the health and happiness of the communities it serves by providing quality care to all, regardless of situation or circumstance. The organization has served its communities since 1969 and emphasizes compassion, integrity, professionalism, collaboration, and going above and beyond. The role helps members navigate healthcare, overcome barriers to care, and engage with medical and behavioral health services. It advocates for members in homes, community settings, and provider organizations; shares member barriers with the ECM team and PCP; and supports culturally appropriate communication and care. The CHW also participates in case reviews, consults with the member’s PCP before taking clinical action, and maintains accurate documentation that meets regulatory and accreditation requirements.

Requirements

High school diploma or GED.
Two years of experience in the healthcare, behavioral health, or social services industry.
Valid California driver’s license and proof of auto insurance.
Ability to engage members in a variety of settings, including by phone and in person at homes or care settings such as hospitals.
Knowledge of the community, especially nonprofessional resources and their reputation in the community.
Ability to develop relationships with community members and leaders, including faith-based communities.
Sound decision-making and judgment, including knowing when to consult with team members, supervisors, and experts.
Understanding of and sensitivity to mental health conditions and addictive disorders.
Excellent verbal and written communication skills, including composition, typing, and proofreading.
Ability to interpret written, oral, diagram, or schedule-form instructions.
Ability to manage multiple tasks simultaneously.
Strong planning and organizational ability.
Strong teamwork and relationship-building skills.
Ability to work both as part of a team and independently.
Ability to handle highly confidential information professionally and ethically.
Ability to lift or carry 20 pounds and stand for long periods.

Nice To Haves

Experience in outreach and customer service in medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues.
Bilingual English/Spanish.

Responsibilities

Help eligible ECM members navigate the healthcare system through phone and in-person outreach and follow-up.
Help members participate in medical and/or behavioral healthcare by addressing barriers to care.
Document and share member barriers with the ECM team and PCP to improve care and outcomes.
Use evidence-based engagement approaches, including motivational interviewing, to support members’ sense of control over their health and collaboration with their care teams.
Communicate easy-to-read health and wellness information to the community and provide information about Home Health Plan (HHP) member benefits and services.
Advocate for ECM members in their homes, communities, and provider organizations.
Build and maintain positive working relationships with providers through in-office interactions and approved communication methods, including phone, email, and fax.
Represent community perspectives to help the ECM team and providers understand patients’ cultures, norms, beliefs, and preferences.
Help create culturally appropriate messages and materials and deliver messages in ways that fit members’ cultures.
Collaborate with the ECM team on responsibilities, task sharing, conflict resolution, member case reviews, and member care issues.
Participate in weekly case reviews and consult with the member’s PCP before taking clinical action.
Ensure documentation is accurate, useful, and compliant with regulatory requirements and accreditation standards.
Participate in required staff meetings and other activities.
Follow safety procedures, report injuries and unsafe conditions, use appropriate body mechanics, and follow infection-control procedures, including blood-borne pathogen protocols.
Protect confidential patient, employee, and volunteer information and access it only when needed for business purposes.
Comply with corporate integrity and security requirements and report unethical, fraudulent, or unlawful behavior or activity.