Community Health Worker-Strategic Insurance Development-Full Time

Job Summary:

As the Community Health Worker, you will contribute to improving the health of communities and individuals by screening for Health-Related Social Needs (HRSNs), connecting them to services, and providing health education and community resource support. You will work together with healthcare systems, social service providers, and community-based organizations to make resources more accessible and improve the quality-of-service delivery through your compassionate, culturally competent support and coordination. 

 Responsibilities: 

Screening and Documentation: 

• Complete screenings of the patient population for Social Determinants of Health (SDOH). 
• Document findings in EPIC and other required platforms. 

Navigation Services: 

• Work with Medicaid Members to connect them to the appropriate services to address their HRSNs that align with the Members’ preferences. 
  • Document interventions in EPIC and other required platforms. 
  • Assist member with scheduling transportation through MAS or other available/appropriate resource. 
• Follow up with the Member to confirm the services were accessed and understand if their needs were met. 
• Establish and maintain relationships with community agencies, service providers, and stakeholders to stay informed about available resources and referral pathways. Maintain up-to-date knowledge of community resources appropriate to the needs of participants/families and act as an advocate between the participant/family and community service agencies. 

Support for Preventative Care: 

• Assist patients in completing preventative screenings, healthcare visits, immunizations, etc., as identified through Health Maintenance or payer quality measure reports. 

Cohort Intervention: 

• Manage assigned caseload of Medicaid members 
• Provide support for people with behavioral health diagnoses and/or people who use drugs without using stigmatizing language or practices. Communicate compassionately with all individuals seeking services. 
• Remove barriers to access otherwise present due to the individuals’ limitations, disabilities, resources, etc. 
• Develop Social Care Plans for eligible Members that include a summary of Member needs, eligibility, services to which Members are referred, and status of those referrals. Update Social Care plans as needed. 
• Monitor and respond to communication(s) received from Members. 
  • Promote appropriate use of healthcare resources by fostering a consistent connection with primary care. 
  • Educate patients on when to use walk-in clinics or the Emergency Room. 

Attribution Management: 

• Outreach to attributed patients that are not scheduled for appointments. 
• Notify payers of patients who are in fact attributed to non-Guthrie PCP.

Qualifications: 

• High school diploma or equivalent; additional education/experience in healthcare or social services is a plus. 
• Experience working with Medicaid populations and understanding of social determinants of health (SDOH). 
• Possesses strong communication skills (written and verbal).  Communicates compassionately and professionally with all individuals seeking assistance. 
• Empathy and a commitment to improving patient outcomes. 
• Navigate complex systems of care with critical thinking, patience and perseverance. 
• Negotiation skills and the ability to develop strong working relationships 
• Proficient in planning & time management 
• Possesses adaptability skills (both in attitude and action). Ability to work independently with minimal supervision, and as part of a team. 
• Must have strong personal computer program skills including Microsoft Outlook, Microsoft Office (Word, Excel PowerPoint etc.) 
• Participation / facilitation of meetings either in person or via virtual platforms such as Teams, Zoom 

Preferred Qualifications: 

• Certification as a Community Health Worker. 
• Proficiency in using EPIC or similar electronic health record systems. 
• Familiarity with the U.S. healthcare system and federally funded healthcare programs 
• Bilingual skills. 

Working Conditions: 

• This position may require travel within the community to meet with patients and Community Based Organizations. 
• Flexibility in working hours to accommodate patient needs. 
• May assume additional responsibilities, as required.

The pay ranges from $20.38-$31.81

Joining the Guthrie team allows you to become a part