Community Health Worker (Field)

Point32Health • Canton, MA

6d • $59,770 - $89,654 • Hybrid

About The Position

The Community Health Worker (CHW) assists members in managing their health goals in the community. The CHW role works collaboratively with team members of Point32Health Integrate Care Management team to increase member knowledge, motivation, and adherence to key components of their health care. The Clinical Community Health Worker will arrange, coordinate, evaluate, and advocate for safety net services that provide for basic needs such as education, housing, healthcare, Health harming legal issues, transportation, and counseling assistance.

Requirements

• Credentialed by the Board of Certification of Community Health Workers (CHW certificate) or willing to obtain with assistance of leadership team within one year of employment.
• 3 - 5 years' experience as a Community Health Worker in a similar position in a health care environment to include 1 year experience with care coordination and/or case/care management, advocacy, community health promotion, resource planning, and community-based visits.
• Excellent written and verbal communication skills.
• Working knowledge of Microsoft Office applications.
• Excellent organizational skills.
• Ability to utilize an Electronic Medical Record.
• Strong understanding of the managed care environment with focus on the Medicare/Medicaid population.
• Strong understanding of federal programs namely, The Affordable Care Act, MassHealth, Social Security and Social Security Disability Insurance.
• Knowledge of welfare reform, homelessness, and community resources to address basic needs such as housing, food, transportation, clothing.
• Knowledge of barriers encountered by low-income and culturally diverse families.
• Demonstrated understanding of community services and navigating the healthcare system.
• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.
• Personal vehicle with current insurance.
• Valid driver's license in good standing with a safe driving record.
• Ability to travel frequently to member’s homes, hospitals, skilled nursing facilities, PCP (Primary Care Physician) office practices and other sites where patients receive care.

Nice To Haves

• Bachelor’s degree in an allied health discipline (e.g., Health Education, Human Services, Public Health, Community Health, Social Work, etc.)
• Bilingual or multi-lingual.
• Medical terminology knowledge and proficiency a plus.

Responsibilities

• Engage in regular telephonic and in-person member assessments pertaining to Social Determinants of Health (SDoH), visits at regularly scheduled intervals, and will conduct urgent visits to ensure that a members' Plan of Care is fully comprehensive and addresses significant medical, behavioral, and social needs.
• Provides culturally appropriate health education, information, and outreach in community settings. This includes homes, schools, clinics, shelters, local business, and community centers.
• Bridges the gap between communities and health and human services by increasing members health knowledge and ability to be self-reliant.
• Identifies gaps pertaining to Health-Related Social Needs (HRSN) that create barriers to member's care and influence unmet needs.
• Responsible for assessing health risks and inputs to the member's care plan and partners with care teams on key care management/care coordination decisions.
• Assists members in navigating state and federal benefits and applying when member meets qualifications.
• Assists members in accessing Community Based Organization resources with referrals and warm hand offs.
• Advocates for members to overcome SDoH/HRSN (Health Related Social Needs) barriers such as Housing, Health Harming legal issues, access to health care, and other social need barriers.
• Uses recovery strategies such as motivational interviewing, empathic listening, harm reduction, positive behavioral support techniques, limit setting and strength-based approaches to support members in attaining stated goals.
• Participates in on-going education and training to improve skills and role-specific certifications or specialization.
• Provides consultation and support to other Point 32 Health team members.
• Participates in member and provider health education and outreach campaigns as assigned.
• Provides direct services, such as: 1:1 informal health education counseling. Chronic diseases counseling. Social support. Care coordination and provider navigation. Health services enrollment and health insurance navigation skills. Ensure preventive health screenings. Assists with completion of Advanced Directives.
• Maintains growth and development through self-directed learning activities and involvement in ongoing community health worker education, trainings, and annual competencies.
• Participates in group meetings to ensure policies, procedures, and workflows are up to date and advises on revisions needed.
• Other duties and projects as assigned.

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level