This position involves working within the community to provide outreach to patients with complex medical and social needs, acting as a resource to help them navigate the healthcare system. Key responsibilities include orienting and assessing new Community Health Workers, assisting in identifying and reaching out to medically complex patients, and collaborating with a multidisciplinary team to develop and implement care plans. The role requires engaging patients through phone calls, home visits, hospital visits, and accompanying them to provider appointments. The Community Health Worker will also complete vital signs, identify gaps in care, connect members with resources, facilitate telemedicine visits, perform disease-specific education, conduct medication reviews for adherence, and perform safety evaluations in patients' homes. Proactive communication with the clinical team and manager regarding concerns is essential. The role also involves participating in multidisciplinary team conferences to optimize treatment plans and reinforcing treatment plans under the direction of a Case Manager and Licensed Social Worker.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees