Lead Care Manager / Community Health Worker (Street Medicine)

WEA CA PC

About The Position

Wellness Equity Alliance (WEA) is a novel national public health organization comprised of a multidisciplinary team of population and public health experts with backgrounds in infectious disease, public health, emergency medicine, primary care, cardiology, pediatrics, psychiatry, community health work (CHW), nursing and advanced practice pharmacy. We work nearly exclusively with underrepresented communities, fundamentally addressing health-care disparities and the social determinants of health (SDoH) that have been amplified during the COVID-19 pandemic, prioritizing the following: People experiencing homelessness Indigenous communities Immigrant communities Rural communities BIPoC communities LGBTQIA+ communities Justice-impacted communities The WEA team is diverse, inclusive, and nimble enough to assemble teams of healthcare professionals within days using our proven local staff recruitment models to address population health crises and communicable disease outbreaks. The WEA team’s partnership model is collaborative and allows hospitals, health jurisdictions, state/local government agencies to provide timely care using equity-based strategies for individuals and marginalized communities.Elevate your career to new heights with an opportunity that transcends traditional healthcare boundaries!Wellness Equity Alliance is actively seeking compassionate and driven individuals for several pivotal roles in our groundbreaking Street Medicine program. Street Medicine is an innovative and compassionate approach to healthcare, designed to meet individuals experiencing homelessness right where they are: on the streets, in shelters, or within underserved communities. Working for WEA is more than a job; it's a calling to serve those who are most in need, directly in their environment. Purpose of the position This position is focused on conducting community outreach among unhoused populations. The Community Health Outreach Worker (CHOW) care coordinator will play a crucial role in identifying individuals with active HIV/HCV and STI cases and ensuring they are connected to appropriate care. This includes verifying that patients have received the correct treatment and follow-up care.Staff selected for this role will contribute to a vital and sustainable street medicine program designed to serve unhoused communities in the Riverside County area. Often, the most vulnerable individuals experiencing homelessness have encountered repeated failures from institutions throughout their lives, leading to a deep mistrust of authorities, institutions, and healthcare providers. This mistrust, while initially a form of self-protection, can become a significant barrier to accessing care and resources that could significantly improve their quality of life.The street medicine team will work to build trusting relationships with people who are in need of medical services, work to decrease the logistical barriers that block access to health care and provide care directly to the places where unhoused individuals live.

Requirements

Essential Skills and Qualifications: As these positions represent some of the early roles to help build this program, we are specifically seeking out individuals with experience developing outreach programs and engaging communities and businesses to engage in meaningful health-care programs
CHW Certificate
Violence Prevention Professional Certificate
Work Experience Pathway
Education Experience
High School diploma or general equivalency diploma (GED) Associates degree in a healthcare, social work, or related field (Preferred)
Must possess either a minimum of 5 years of relevant professional experience or lived experience
Ability to work both independently and to collaborate with teams of individuals in diverse settings, using a solution-oriented approach.

Nice To Haves

Preference given to candidates with Community Support Worker (CSW) and/or Certified Peer Support Worker (CPSW) credentials/certifications.
Demonstrated history of strong interpersonal skills and ability to understand and follow written/verbal instructions.
Demonstrated knowledge of local and regional community resources.
Demonstrated knowledge of public health programs.
Skilled in utilizing appropriate industry standard assessment techniques.
Demonstrated ability to provide appropriate guidance and positive customer service with utilizing a patient centered approach.
Must possess a comprehensive knowledge of the local community based on personal lived experience or the ability to articulate the lived experience and perspective
Preference given to bilingual Spanish speakers.
Preference to cultural competence with LatinX communities

Responsibilities

Assist with daily site/program operations, such as mapping team efforts for the day or week
Review supplies needed for each patient outreach encounter
Evaluate program performance through key performance indicators and monitor for improvement opportunities
Conduct outreach activities within a specific health program and/or defined patient populations with the goal of engaging multiple local businesses, schools, and other relevant organizations in our public and community health services
Conduct telephonic and/or face-to-face outreach with patients to identify social determinants of health impacting patient's health and overall wellness
Utilize coaching, motivational interviewing, and other evidence-based techniques to support patients in achieving their goals
Utilize technology and digital resources to monitor ongoing care activities
Identify barriers to achieving targeted clinical or social outcomes, and engage the care team to revise the care plan when necessary
Documents all participant encounters; completes and submits monthly reports; maintains comprehensive electronic participant files. Documents activities, service plans, and outcomes achieved by study participants in an effective manner
Assists participants in accessing health-related services, including but not limited to: overcoming barriers to obtaining needed medical care and /or social services
Assists participants in utilizing community services, including scheduling appointments with health resources, and assisting with completion of applications for programs for which they may be eligible
Works collaboratively and effectively within a team. Establishes positive, supportive relationships with participants and provides feedback to other members of the team. Builds and maintains positive working relationships with the participant, providers, nurse case managers, agency representatives, research staff, supervisors, and office staff, from diverse cultural and socio-economic backgrounds. Works to reduce cultural and socio-economic barriers between participants and institutions
Provides health coaching, patient navigation, health education and/or health promotion for a diverse patient panel within assigned health program
Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services.
Oversee provision of Enhanced Care Management (ECM) services and implementation of the care plan.
Offer services where the member lives, seeks care, or finds most easily accessible and within
Connect member to other social services and supports the member may need, including transportation.
Advocate on behalf of members with health care professionals.
Use motivational interviewing, trauma- informed care, and harm-reduction approaches.
Coordinate with hospital staff on discharge plan.
Accompany member to office visits, as needed and according to Health Net guidelines.
Monitor treatment adherence (including medication).
Provide health promotion and self- management training.
Manage monthly and quarterly report requests from local, state and Federal entities
Proficient in Microsoft Office Programs (Word, Excel, PowerPoint), Google Business Suite Programs (Google Docs, Sheets, GCalendar, etc)
Collaborate with subject matter experts (SMEs) to articulate complex facets of WEA services offerings
Assist with proposal knowledge management and retention of content for future use
Manage interns, help supervise and develop associates base on organizational and developmental needs
Conduct regular meetings with team members to provide guidance and leadership