Community Health Worker

CenterWellAtlanta, GA
Hybrid

About The Position

As a Community Health Worker, you will serve as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns. The region of service will be from downtown Atlanta to Decatur, GA. You will report to the Associate Operations Director for the Atlanta Market. The Community Health Worker will: Visit patients in the hospital during admissions as well as assist in set up for post discharge appointments. Conduct in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment. Assist members in navigating healthcare and social service systems, coordinating access to basic needs (e.g., housing, food, income, transportation), and scheduling physical and behavioral health visits. Advocate for members with providers, community resources, schools, and others, including accompanying members to provider visits as requested. Identify and address barriers to healthy living and healthcare access, ensuring members can attend their appointments. Promote and monitor adherence to care plans, providing motivational interviewing to support medication and treatment adherence. Provide social support to boost members' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member. Support member self-management through culturally appropriate health education and coaching. Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs. Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps. Regularly travel to conduct member visits, provider visits, and community-based visits as needed to ensure effective program administration. Work collaboratively with other associates as a member of the care support teams, including case managers, housing specialists, and SDOH coordinators. Attend community events to connect with members and provide education on case management services. Use your skills to make an impact

Requirements

  • High School Diploma or equivalent
  • Minimum two (2) years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
  • Valid state driver's license
  • Maintain personal vehicle liability insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
  • Must be screened for TB as part of the company's Tuberculosis (TB) screening program.

Nice To Haves

  • Community Health Worker training and/or certificate or willingness to complete within one (1) year
  • Bachelor's degree in social work or related field
  • Familiarity with state Medicaid program guidelines
  • Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
  • Proficient in English and Spanish

Responsibilities

  • Visit patients in the hospital during admissions as well as assist in set up for post discharge appointments.
  • Conduct in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment.
  • Assist members in navigating healthcare and social service systems, coordinating access to basic needs (e.g., housing, food, income, transportation), and scheduling physical and behavioral health visits.
  • Advocate for members with providers, community resources, schools, and others, including accompanying members to provider visits as requested.
  • Identify and address barriers to healthy living and healthcare access, ensuring members can attend their appointments.
  • Promote and monitor adherence to care plans, providing motivational interviewing to support medication and treatment adherence.
  • Provide social support to boost members' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member.
  • Support member self-management through culturally appropriate health education and coaching.
  • Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs.
  • Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps.
  • Regularly travel to conduct member visits, provider visits, and community-based visits as needed to ensure effective program administration.
  • Work collaboratively with other associates as a member of the care support teams, including case managers, housing specialists, and SDOH coordinators.
  • Attend community events to connect with members and provide education on case management services.

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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