Job Description

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POSITION: Community Health Worker - Enhanced Care Management DEPARTMENT: Medical Unit STATUS: Full‐Time, Non‐Exempt

POSITION SUMMARY: Under the direct supervision of the Enhanced Care Management Director, the Enhanced Care Management Member Navigator is a person with direct knowledge of the local community who functions as a “guide” and offers assistance to community members in “navigating” the health care and accessing related social and financial services to improve health outcomes. The Member Navigator performs a variety of health promotion, clerical and medical support services within the clinic setting and in the community. A primary function of the Member Navigatoris to outreach and enroll eligible members into T.H.E.’s Enhanced Care Management Program (ECM) and maintain communication between members, their families, physicians, and the health care and social system(s) to help facilitate the care of individuals. Essential Duties and Responsibilities:

• Conducts outreach and enrollment activities as directed to engage members identified as being ECM eligible. Works with care team staff to identify potential members to outreach and enroll into the ECM.
• Performs, as needed, member scheduling, program eligibility screening, broken appointment follow‐up, etc.
• Utilizes language and cultural awareness skills to outreach to members and community and present T.H.E.’s ECM Program in an acceptable manner.
• Works in collaboration with the Lead Care Manager to gather information from ECM enrolled members to complete comprehensive assessments, support care management planning, and implement health promotion strategies.
• Able to balance priorities and maintain outreach and enrollment goals.
• Offers services where ECM enrolled members live, seek care, or find most easily accessible and within health plan guidelines.
• Connects with ECM eligible or enrolled members via phone or in‐person to facilitate engagement, assessment, follow‐up, and education/training visits to support the Care Plans.
• Connects ECM enrolled members to other Community Supports / social services and supports they may need.
• Accompanies ECM enrolled members to office visits, as needed and according to health plan guidelines.
• Arranges transportation.
• Responsible to participate in care conference meetings.20
• Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates.
• Utilizes eCW and other electronic tracking systems to coordinate services and input data for reporting.
• Attends required ECM trainings.
• Assists with the required ECM reports, data entry, and other internal reports.
• Responsible for coordinating with individuals and/or entities to ensure a seamless experience for members and non‐duplication of services.
• Advocate on behalf of the member with health care professionals.
• Use motivational interviewing, self‐management support, trauma‐ informed care, and harm‐reduction approaches.
• Meets with members at the hospital to support discharge planning and transitions of care.
• Coordinates with the Lead Care Manager to monitor treatment adherence and facilitate communication among members, their family supports, and care team as needed (e.g., hospital discharge plans, medication, etc.).
• Other duties as assigned.

Education and Qualifications:

• High school diploma or GED.
• Previous experience in a health care setting is preferred.
• Bilingual in English/Spanish (oral and written)

Knowledge. Skills and Abilities:

• Knowledge about the communities and populations they are engaging.
• Strong documentation skills.
• Ability to speak the language of the member population served and/or effectively utilize interpretation/translation resources to ensure linguistically appropriate care is delivered.
• Ability to multi‐task and prioritize when needed.
• Ability to independently seek out resources and work collaboratively.
• Ability to develop and maintain good working relationships with staff.
• Ability to use computer and learn new software programs.
• Excellent interpersonal skills reflecting clarity, diplomacy, and the ability to communicate accurately and effectively with members and all levels of staff and management.
• Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.
• Possesses ability to communicate effectively, both verbally and in writing.21
• Proficient knowledge of Microsoft Outlook, MS Word, and Excel.
• Able to travel and attend professional meetings, conferences, trainings, and clinic sites.
• Performs other related duties as assigned. Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, sit, talk, or hear. The employee is occasionally required to use hands to handle, or feel objects, keyboard, or controls; and reach with hands and arms. The employee must occasionally lift and/or move up to 10 pounds. Specific visionabilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Job Description Disclaimer

This position requires compliance with Health Center’s written standards, including its Standards of Conduct and policies and procedures (“Written Standards”). Such compliance will bean element considered as part of the Community Health Worker’s regular performance evaluation.

Failure to comply with Health Center’s Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or Health Center’s Written Standards, will be met by the enforcementof disciplinary action, up to and including possible termination, in accordance with Health Center’s Compliance Program Policy and Procedure.

I have reviewed and understand the job functions required of me for the position in employment with T.H.E. Clinic, Inc. I understand that T.H.E. Clinic, Inc. reserves the right to modify job duties or job descriptions at any time.

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Job Tags

Full time, Local area,

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