Community Health Workers will join our team of nurses, social workers, care coordinators, providers, and pharmacists, where you will have the opportunity to make a profound impact on the lives of underserved individuals and families living with complex and/ or chronic medical and behavioral conditions. You will connect with your enrollees in person, on the phone, and in the FQHC - essentially however and wherever the enrollee needs your assistance to improve their health, better understand their illness and coordinate their care. Must be prepared to work from FQHC, home office, or within enrollee’s homes.
DUTIES AND RESPONSIBILITIES:
As a Community Health Worker, you will be an integral part of the Care Team, focused on providing an integrated approach to enrollee support, management, and access to community resources. You will be responsible for helping enrollees and their families navigate and access community services and resources, and adopt healthy behaviors by conducting the key functions below:
- Conduct initial outreach calls to encourage enrollees and care givers to participate in care management programs
- Interact with enrollees in their homes, neighborhoods, and communities as necessary, to identify and resolve member’s barriers to receiving recommended health services, adhering to treatment recommendations made by providers, and becoming effective managers of their health.
- Support Care Managers with providing in-person assistance to enrollees with self-care needs.
- As needed: schedule provider visits on behalf of enrollees, accompany enrollees to visits, ensure access to other community and government-based services
- Guide and teach care givers about symptom response plans
- Act as an advocate and liaison between the enrollee/family and community service agencies (i.e. schools, Department Human Services, homeless shelters, hospitals, support groups, etc.).
- Provide ongoing follow-up, basic motivational interviewing, and goal-setting with enrollees/families
- Along with other members of the team, conduct assessments that include the medical, behavioral, and social needs of the enrollee in order to identify gaps in care and barriers to accessing resources critical to enrollees’ wellbeing. Complete these assessments within specific timeframes.
- Act as a contact point, advocate and resource for enrollees, their family and their providers, building effective relationships through trust, respect and communication.
- Be fully accountable for the completion of work within established timeframes and for achieving the goals established for the enrollee/family.
- Ensure that all services are offered in a culturally and linguistically appropriate manner.
- Ensure that all needed accommodations are consistently made for members with disabilities.
- Maximize the use of ACO care management tools and technology to ensure that work is comprehensive, detailed, automated and streamlined to the extent possible. Make recommendations to change workflows to enhance the ease of use, practicality and effectiveness of the ACOs tools and processes.
- Understand the relationship between work done in the ACO’s system and the work done in the FQHC’s EHR. Ensure that workflows are optimized to recognize and support both the ACO’s system and the FQHC’s EHR.
- Use information about data trends for self-directed learning and performance improvement
- Demonstrates an understanding of customer service principles by successfully completing on line training.
- Utilizes the principles of customer service when interacting with patients/clients, team members and staff from other departments.
- Appropriately handles or seeks support when customer service breakdowns occur.
- Demonstrates awareness of culture by successfully completing the on-line training on Cultural Competence.
- Utilizes an appreciation of and respect for diversity when interacting with patients/clients, team members and staff from other departments.
- Responds appropriately or seeks support when confronted with cultural biases or conflicts.
- Is aware that in order to respond promptly and appropriately to emergency situations, any staff member may be assigned to duties which differ from those in the job description or may be assigned temporarily to a different location.
- Understands that all staff should have a Personal Emergency Plan in place to best respond to his/her job responsibilities should a health center emergency arise.
- Experience working in a clinical or special service setting with Medicare, Medicaid, or Special Needs populations
- Community Health Worker, Engagement Specialist, or Medical Assistant Certification
- Experience working with enrollees with chronic medical and behavioral health needs
- Ability to connect with people and understand the challenges they face
- Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurse.
- Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion
- Fluency in a non-English language
- Strong work ethic built on a foundation of proactivity and teamwork
- Ability to navigate ambiguity with the aid of structured problem-solving techniques
- Committed to the practice of inquiry and listening
- Flexible work schedule – may need to work evenings/ occasional weekends to provide enrollee access and/ or follow up
- Computer proficiency in Microsoft Office
- We are looking for team members who possess high energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team oriented system
- History of good attendance and positive work attitude
- The essential duties of this position may present risk of exposure to airborne infection, body fluids, and blood borne pathogens. Annual BBP Training is required.
- Up to date immunization and annual TB testing is required.
- Hepatitis B vaccine and annual flu immunization are strongly recommended.
- All necessary vaccines are available at no charge at the health center. A declination form must be signed if Hepatitis B or other recommended vaccines are declined.
- Results of inquiry to Criminal Offender Record Investigation (CORI) must be acceptable under health center standards
Lynn Community Health Center (LCHC) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, LCHC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training. LCHC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of LCHC’s employees to perform their job duties may result in discipline up to and including discharge.
Job Posting ID # 19-044