ACO Community Health Work

Job Description

Job Description

Job Summary :

As an integral member of the care management team, the Community Health Worker (CHW) will have the opportunity to make a profound impact on the lives of individuals living with complex and / or chronic conditions, many of whom also face multiple barriers accessing care and need support to succeed with achieving health care goals. This position requires flexibility and may vary from day to day to meet members where they are. Outreach methods may vary based on the needs of the organization and may include telephonic or in-person support in a variety of potential settings, such as but not limited to, the community, home, facility, or health center.

Principal Responsibilities and Duties :

• Works under the guidance of the Licensed Care Manager and Director of Nursing.
• Conducts initial outreach calls to encourage members and caregivers to participate in care

management programs and reduce health care disparities.

families, groups, and the primary care team meet their needs.

families, and communities.

supporting the completion of referrals, and providing or confirming appropriate follow-up.

accessibility for patients and providers, and linking patients with the appropriate support

services.

Required Skills :

Other Desired Skills :

Qualifications :

Working Conditions :