Community Health Worker-Enhanced Care Management Program

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives.

At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters.

At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 506,563 medical, dental, and behavioral health visits from more than 96,867 people annually.

We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.

If that sounds like an organization you want to be a part of, we would love to have you.

The Community Health Worker (CHW) is responsible for working effectively with Enhanced Care Management (ECM) members to improve their whole health through outreach and engagement activities, which are primarily field based.

This position works collaboratively as part of the Enhanced Care Management team, members and families, and other professionals and works with the designated primary care provider (PCP) care team.

Responsibilities

• Assists members in navigating the healthcare system by finding and following up by phone and in-person with eligible ECM members
• Helps members participate in their medical and / or behavioral healthcare by overcoming barriers to care
• Documents and shares member barriers with ECM team and PCP to improve care and outcomes
• Utilizes evidence-based approaches when engaging with patients to increase their sense of control over their health, such as motivational interviewing to promote collaboration between patients and their medical / behavioral care team
• Communicates and delivers easy to read information about health and wellness to the community and provides information on Home Health Plan (HHP) member benefits and services
• Advocates on behalf of ECM members in the home, community, and provider organizations
• Builds and maintains a positive working relationship with providers, including interactions within provider offices, phone, email, fax, and other approved communication methods
• Assists the ECM team and providers to understand the culture, norms, beliefs, and preferences about patients and their communities by representing the community's voice
• Helps create messages and materials that fit community culture and delivers messages to fit the culture of members
• Works collaboratively within the ECM team to discuss responsibilities, task sharing, conflict resolution, and member case reviews
• Collaborates on member care issues with other ECM team members
• Participates in weekly case reviews and consults with the member's PCP before taking any clinical action
• Ensures documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards
• Participates in required staff meetings or other activities

Qualifications

Education / Experience

• High school / GED required
• Two years’ healthcare, behavioral health, or social services industry experience required
• Experience working in outreach and customer service within the medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues preferred
• Valid CA Driver’s License and proof of auto insurance required
• Bilingual (English / Spanish) preferred

Additional Qualifications (Knowledge, Skills and Abilities)

• Ability to sufficiently engage members in a variety of settings (phone, in person / homes and / or care settings, such as hospitals)
• Knowledgeable about the community the, especially non-professional resources and their reputation in the community
• Ability to develop relationships with community members and leaders, including faith-based community
• Skillful in decision-making and judgement, including knowing when to consult with the team, supervisors, and experts
• Understanding of and sensitivity to mental health conditions and addictive disorders
• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Excellent teamwork and relationship building skills
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Pay Range : $23.13- $27.55 per hour, depending on experience.