Community Health Worker – AmeriHealth DC
Posted June 5, 2019
Under the supervision of the Community Outreach Services Team Supervisor, the Community Health Worker (CHW) engages with members in person, over the phone and through other mediums as appropriate to: communicate key care management, benefit administration and health promotion messages; help them get answers to their care management and post treatment questions; and help them address environmental factors and social determinants that may be impacting their health. The CHW may also be called upon to engage members in their home, in the community or at other suitable locations to collect key biometric information such as blood pressure, blood sugar, weight, waist circumference and other non-invasive health measures and then communicate this information back to their PCP or Nurse Care Manager. And finally, the CHW will also support and work on health promotion programs including but not limited to health fairs, community events and targeted outreach and/or care management programs.
- Engages members at their home or in a care setting, such as a hospital room or emergency room, to help him or her arrange transportation home, fill prescriptions, schedule follow-up appointments and obtain answers to questions related to next steps after being discharged from the hospital or emergency room.
- Follows up with members at their residence to communicate information from their care manager, assists them in understanding their care plan and also collects and documents relevant information about their home environment and other identifiable social determinants that may potentially be impacting their health.
- Meets members at their residence, provider offices, and other community locations to inform them about gaps in care, pending eligibility expiration, upcoming programs and other key messages related to their benefits and/or Medicaid status.
- Engages members in their home, in the community or at other suitable locations to collect key biometric information such as blood pressure, blood sugar, weight, waist circumference and other non-invasive health measures and then communicate this information back to their PCP or Nurse Care Manager
- Observes members general physical and mental state and documents findings as appropriate.
- Together with case managers and clinical staff, supports members in case management through the early part of their care so they participate fully, become educated and advocate for themselves.
- Provides personalized assistance and encouragement to members to help them seek appropriate medical care and counseling
- Contacts members by phone (voice and text) as appropriate to communicate key messages and to help them schedule appointments with their PCP and other providers.
- Sends letters and other information to members as follow-up messaging for successful and attempted home visits and/or phone calls.
- Presents AmeriHealth DC benefits to members and explains how to access them in both group and one-on-one settings.
- Educates and assists members on how to recertify for their Medicaid benefits and how to enroll with a managed care program via the enrollment broker process.
- Educates members on the benefits of establishing both a primary care medical and dental home.
- Collaborates with provider staff to develop strategies that will help establish the provider’s practice as primary medical home for their assigned members.
- Leverages company resources to help members and providers resolve benefit administration issues, confirm member eligibility and appointments, and schedule members for gap in care, HEDIS and EPSDT appointments.
- Maintains and follows proper protocol for documenting member encounters, activity logs, and other back office responsibilities in an accurate and timely manner.
- Participates in special projects as assigned.
- Adheres to AMFC policies and procedures.
- Supports and carries out the AMFC Mission & Values.
- Other duties as assigned.
Key Competencies/Success Factors:
- Excellent listening skills.
- Strong verbal and written communication skills.
- Strong counseling and relationship building skills.
- Strong organizational and time management skills.
- Detail oriented.
- Scheduling, planning and follow-up skills.
- Ability to interface effectively with a diverse population.
- Ability to work independently and with teams.
- Ability to identify and access resources.
- Broad knowledge about the community, specific health issues and health and social service systems.
ADA Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Clear speech and good hearing for effective communication.
- Physically and mentally capable of performing all duties outlined in the job description.
- Must be able to lift a maximum of 50 pounds to transport literature and other health promotion material.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Potential Hazards: Walking to member’s doors and to other locations around the community
Education and Training
- Required: High school diploma or GED equivalent
- Preferred: Home Health Aide and/or Direct Service Professional Certificate, Associate’s degree in Business Administration
- Two to five years of health care, social work, human service experience or equivalent.
- Broad knowledge of the healthcare industry and marketplace (preferred)
- Deep knowledge about and experience in the assigned community, specific health issues and health and social service systems (preferred).
Licenses, Registrations or Certifications:
- Home Health Aide and/or Direct Service Professional Certificate or equivalent (preferred)
- Current driver’s license (preferred)
Position of Immediate Manager/Supervisor: Supervisor Community Outreach Services
Total Direct Reports: 0
HOW TO APPLY: To apply for this position, follow these instructions to upload a resume and cover letter to: https://www.institutephi.org/careers/chwamerihealth/ No phone calls please.