Community Health Worker, Complex Care

NeighborHealth • Boston, MA

1d • $24 - $37

About The Position

NeighborHealth is seeking Community Health Workers to join its Care Team alongside nurses, social workers, care coordinators, providers, and pharmacists. The role supports underserved individuals and families ages 0 to 65 who have complex and/or chronic medical and behavioral health conditions. Community Health Workers connect with enrollees in person, by phone, and in other settings to help improve health, build understanding of illness, and coordinate care. Work may take place at NeighborHealth or in enrollees’ homes, and may also involve travel to hospitals and community locations or accompanying enrollees to appointments.

This is a 20-hour-per-week position, Monday through Friday between 8 a.m. and 5 p.m., with a one-hour unpaid lunch. Occasional evening or weekend work may be needed. The starting pay range is $24.15 to $36.50 per hour, based on experience.

Requirements

• Bachelor’s degree, or high school diploma with equivalent experience.
• Experience working in a clinical or special services setting with Medicare, Medicaid, or Special Needs populations.
• Experience working with enrollees with chronic medical and behavioral health needs.
• Ability to connect with people and understand the challenges they face.
• Demonstrated success working on a multidisciplinary team, including communicating and working with physicians and registered nurses.
• Strong written and oral communication skills and the ability to positively influence others with respect and compassion.
• Strong work ethic, proactivity, teamwork, integrity, kindness, empathy, and a collaborative approach.
• Ability to navigate ambiguity using structured problem-solving techniques.
• Commitment to inquiry and listening.
• Computer proficiency in Microsoft Office.
• Valid Massachusetts driver’s license and own transportation.
• Attain a CCMC (Commission for Case Manager Certification) on the job.
• Ability to work a flexible schedule, including occasional evenings or weekends as needed.

Nice To Haves

• Community Health Worker, Engagement Specialist, or Medical Assistant certification.
• Fluency in a non-English language.

Responsibilities

• Conduct initial outreach calls to encourage enrollees and caregivers to participate in care management programs.
• Develop and implement outreach plans with team colleagues based on individual, family, and community needs, strengths, and resources.
• Identify and share appropriate information, referrals, and resources to help individuals, families, groups, and the primary care team meet their needs.
• Gather and combine information from different sources to better understand clients, their families, and their communities.
• Initiate and sustain trusting relationships with individuals, families, social networks, and the primary care team.
• Use a range of outreach methods to engage individuals and groups in diverse settings.
• Share community assessment results with colleagues and community partners to inform planning and health improvement efforts.
• Act as a cultural mediator by supporting providers in working with clients from diverse cultures and helping clients and community members interact effectively with professionals.
• Address language and cultural barriers to care.
• Coach and guide members or their representatives in meeting personal and clinical goals.
• Work with individuals, families, community members, the primary care manager, and the primary care team to address barriers to healthy behavior, including completing Social Determinants of Health screenings.
• Provide care coordination, including facilitating care transitions, supporting referral completion, and providing or confirming appropriate follow-up.
• Bridge cultural, linguistic, knowledge, and literacy differences among individuals, families, communities, and providers.
• Help members or their representatives access community and government-based service agencies, including completing paperwork.
• Help teach members, representatives, and/or caregivers about symptom response plans.
• Participate in integrated care team meetings and rounds as required.
• Travel throughout the assigned area and engage members at homes, hospitals, and community-based locations; accompany members to appointments as appropriate; and cover other areas in person or by phone as needed.
• Create and maintain an inventory of local community resources and link patients with appropriate support services.
• Establish relationships with community agencies, resources, and supports relevant to a Medicaid population.
• Assist with Medicaid applications, food and nutrition benefits, housing applications, and transportation coordination.
• Complete work within established timeframes and achieve goals established for enrollees and families.
• Ensure services are delivered in a culturally and linguistically appropriate manner and with disability competence.

What This Job Offers

• Job Type: Part-time