Description
The Community Health Worker (CHW) role is a full-time field teleworker position that requires West Virginia residency.
The CHW position is part of our care management team, responsible for telephonic and/or face-to-face member contact to assess needs and provide support.
Responsibilities:
- Conduct home visits with Aetna members to assist with needs, including but not limited to locating community resources, scheduling appointments, completing applications for eligible programs, arranging transportation, and educating on services, medications, conditions, etc.
- Complete telephonic and/or email outreach to members, agencies, care providers, community organizations, etc. regarding member needs and care
- Collaborate with care team participants, including but not limited to care manager, department workers, legal or custodial guardians if applicable, healthcare providers, community partners, etc.
- Assess any gaps in care or social determinants of health that may be impeding care or overall well-being and formulate interventions to address any identified areas of need
- Connect with various community organizations and partners regarding resource availability and eligibility to support member needs
- Demonstrate flexibility to work in situations where working conditions or environments are unknown, as member homes and situations may vary
- Document all member outreach and care coordination in electronic health record system in accordance with market processes and maintain the member record to ensure compliance
- Maintain member confidentiality and protected health information (PHI) according to HIPAA policies and company guidelines
- Work independently to organize, problem-solve, and prioritize tasks to meet deliverables, deadlines, and expectations
- Utilize strong interpersonal and communication skills that allow for work with individuals of diverse cultural and socioeconomic backgrounds
- Travel extensively (70% of the time or more via personal vehicle) to member homes, community locations, various agencies, etc. as indicated
Requirements:
- High School Diploma /G.E.D. or higher
- 2+ years relevant experience (i.e. healthcare, community-based, social services, case management, etc.)
- Complete an approved CHW certification program within 12 months of hire.
- Demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
- Must possess reliable transportation, valid/active driver's license, and proof of vehicle insurance with ability to travel up to 70% of the time to various locations within the region using personal vehicle.
Preferred Qualifications:
- Experience in community/outpatient setting preferred.
- Experience in serving the Medicaid Populations in urban or rural environments with knowledge of local formal and informal resource networks preferred.
- Community Health Worker Certification or equivalent training and experience preferred.
- Motivational Interviewing skills.
- Experience with complex children/adolescent populations (to include but not limited to: complex physical health, adoption, juvenile justice and foster care experience), the delivery of behavioral health services, and evidence-based practice preferred.
- Experience with high-risk, chronic physical and/or behavioral health conditions and interventions (such as experience working in a clinic, provider office, hospital, etc.)
Benefits: The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.