Community Health Worker - Massachusetts (Plymouth / Bristol / Barnstable and Surrounding Area)

Job description

Job Summary: The Community Health Worker - Massachusetts functions as a resource to enrollees on clinical care, health systems, and social drivers of health, supporting a panel of enrollees to overcome barriers to care and engagement related to social needs. This role utilizes evidence-based practices, key knowledge of community-based resources, recovery-informed principles, and coaching skills to improve member outcomes by impacting care access and utilization, closing care quality gaps, and optimizing member connection to medical, behavioral health, and substance use disorder resources. Essential Functions: Review SDOH assessments and follow up based on enrollees' needs, goals, and preferences by participating in care planning and goal-setting, providing appropriate resources, education and support in determining the most appropriate post-intervention disposition. Conduct in-person, virtual (telehealth), or telephonic visits with enrollees as needed or as requested. Support the creation of comprehensive and holistic plans of care and contribute to enrollee Care Plan goals pertaining to SDOH and social needs. Ensure appropriate, comprehensive, and timely documentation of all contacts, outreaches, assessments, and interventions in the Centralized Enrollee Record (CER). Identify gaps in care pertaining to SDOH that create barriers and result in unmet needs, identify areas of opportunity and defined resources, and collaborate with the Interdisciplinary Care Team to implement appropriate and timely interventions. Provide health education in collaboration with an enrollee’s Interdisciplinary Care Team and Primary Care Provider (PCP) or specialty care providers (e.g., behavioral health clinician). Participate in and contribute to team meetings as appropriate, provide consultation and expertise to colleagues, including other CHWs and members of the Interdisciplinary Care Team. May participate in the onboarding of newly hired CHWs via shadow visits and “onboarding buddies.” Support CHS Department programs and initiatives, including community engagement and development/education, and quality improvement initiatives. Participate in committees and workgroups, as assigned. Perform any other job related duties as requested. Education and Experience: High School or GED diploma required Associates degree preferred Two (2) years of experience in community or outreach settings working with clients who have complex needs, including medical, social, behavioral health, or substance use required Four (4) years of experience in health plan or managed care settings preferred Competencies, Knowledge and Skills: Ability to communicate effectively and document work professionally and in a timely manner; ability to utilize SBAR communication Ability to provide compassionate and empathic care to enrollees with complex needs Ability to work in a dynamic and innovative healthcare environment; ability to manage change and multiple priorities Demonstrated understanding of SDOH and HRSN and the role they play in enrollee care; demonstrated expertise on local resources and benefits and how to access them Demonstrated experience with, or ability to learn, technological support tools including virtual/telehealth platform and video conferencing Demonstrated proficiency with Microsoft Office products (Word, Excel, Outlook, Teams) Bilingual preferred (Spanish, Vietnamese, Haitian Creole, Cape Verdean Creole, Portuguese) Licensure and Certification: Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Over 50% (Mobile) Routine travel required Compensation Range: $54,500.00 - $87,300.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. Brand=Commonwealth Care Alliance