DirectEmployers Job - 50053601 | CareerArc
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Company: DirectEmployers
Location: Minneapolis, MN
Career Level: Entry Level
Industries: Recruitment Agency, Staffing, Job Board

Description

The Field Based Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient and/or Community Organizations and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the pregnancy continuum of care as a single point of contact for the member. As a Field Based Community Health Worker (CHW), you will act in a liaison role with Community Organizations/members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinant of health such as transportation, housing, and food access. You will be responsible working with our State Guardianship members. Together, we're removing the barriers that keep people from receiving the kind of quality healthcare that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well - being. Working Schedule: Monday through Friday any 8-hour or 10- hour shift to be determined by the hiring manager between the hours of 7am to 7pm. This position is a field-based position with a home-based office. If you are located in the state of Kentucky, you will have the flexibility to take on some tough challenges managing our maternity population. Location: Bowling Green and surrounding communities, Kentucky. Local travel up to 50% and mileage is reimbursed at current government rate. Primary Responsibilities:Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of careUtilize both company and community-based resources to establish a safe and effective case management plan for membersConduct member health assessment that includes pregnancy risk, functional, and behavioral health needsWork with members to develop healthcare goals and identify potential barriers to achieving healthcare goalsWork collaboratively with the interdisciplinary care team to ensure an integrated team approachCollaborate with patient, family, and healthcare providersIdentify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive servicesCommunicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all membersAdvocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare teamDocument all member assessments, care plan and referrals providedAccountable to understand role and how it affects utilization management benchmarks and quality outcomesYou'll need to be flexible, adaptable and, above all, patient in all types of situations. Engage members either face to face or telephonicallyHelp member set person-centered SMART goals and develop a care plan to achieve those goals with regular follow up calls and ongoing documentation of progress towards goals metAdhere to detailed, specific documentation requirements in the member's health recordProactively engage the member to manage their own health and healthcare using Motivational Interviewing SkillsProvide member education on community resources and benefitsUtilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work wellRequired Qualifications:High School Diploma / GED (or higher) OR 4+ years of community outreach experience2+ years of experience working within the Community Health setting in a field-based healthcare role (i. e.: case management experience)2+ years of experience working within the local commun

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