- Conduct home visits with patients to assist with SDoH barriers or other needs identified by the CM team.
- Engage with patients in person who need assistance with self-care needs beyond what a nurse care advisor can provide via phone.
- Accompany patients to their visits.
- Document activities in the Identifi system, including care plan activities conducted.
- Conduct initial outreach calls to encourage patients and care givers to participate in care management programs.
- Help patient access community and governmental based service agencies including possibly filling out paperwork with/for the patient.
- Arrange transportation.
- Coach and guide the patient to meet both personal and clinical goals.
- Schedule provider visits on behalf of their patients.
- Remind patients of their upcoming visits.
- Address language and cultural barriers to care and self-care.
- Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Participate in the integrated care team meetings.
- Participate in community health fairs and events.
- Valid Driver's License
Required - Healthcare background
Required - Ability to unite with people and comprehend the challenges they face
Required - Experience assisting patients with Social Determinants of Health (SDoH) needs
Required - Demonstrated success in working as part of a multi-disciplinary team including speaking and working with Physicians and Registered Nurses
Required - Medical Assistant, Nursing Assistant, Engagement Specialist or Community Health Worker Certification
Preferred - Experience working with patients with chronic and behavioral health needs
Preferred - Bilingual
Preferred -
Community Health Worker
1 week ago
Evolent Health Montgomery County, MD, United StatesYour Future Evolves Here · - Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensu ...
-
Community Health Worker
1 week ago
WellSpan Health Services Gettysburg, United States**Schedule** · Full-time: 40hrs/week · Hours: Monday - Friday, 8am - 4:30pm · Experience with Drug & Alcohol and in home visits preferred. · **General Summary** · Establishes trusting relationships with identified disparate population groups that strengthens the patient-provider ...
-
Health and nursing care worker
1 week ago
Omega Innovations Shepherdstown, United StatesAre you ready for a breath of fresh air? At Shepherdstown, we offer more than just a job - we provide a network that supports and strengthens you on your professional journey. We are currently seeking dedicated health and nursing professionals for IMC / ZNA / AWR positions for ex ...
-
Health and nursing care worker
1 week ago
BlueWave Solutions Maugansville, United StatesWe are currently looking for... · an enthusiastic Healthcare and Nursing Professional (m/f/d) for one of the following locations for our renowned client: Bernau am Chiemsee, Prien am Chiemsee or Wasserburg am Inn. · Are you a motivator, calm keeper, and able to maintain clarity? ...
-
Social Worker Ii, Health Services
11 hours ago
State of Maryland Hagerstown, United States**Introduction**: · **GRADE**: · ASTD17 · **LOCATION OF POSITION**: · Western Maryland Hospital Center · 1500 Pennsylvania Avenue · Hagerstown, MD 21742 · **Main Purpose of Job**: · To provide professional Clinical Social Work services and Case Management to patients/residents an ...
-
Social Worker Ii, Health Svcs Ci
1 week ago
State of Maryland Rockville, United States Full time**Introduction**: · **GRADE**: · ASTD18 · **LOCATION OF POSITION**: · MDH-John L Gildner RICA · 15000 Broschart Rd · Rockville, MD 20850 · **Main Purpose of Job**: · The main purpose of this full time contractual position is to provide direct care to a variety of children and ado ...
-
Administrative Assistant I
11 hours ago
Sheppard Pratt Frederick, United StatesThe Outpatient Mental Health Clinic in Frederick offers comprehensive outpatient mental health services at three conveniently located clinics in Frederick County, as well as off-site counseling services for children and adolescents in Frederick, Montgomery, and Washington Countie ...
-
Construction Quality Control Manager
2 weeks ago
Bristol Bay Construction Holdings, LLC Frederick, United States**Construction Quality Control Manager (QCM) & Site Safety Health Officer (SSHO)** · Location**:Fort Detrick, MD** · Herman Construction Group (HCG), a subsidiary of Bristol Bay Construction Holdings LLC (BBCH), is expanding its workforce We are seeking a talented **Quality Contr ...
-
Project Manager
5 days ago
WG/Welch Mechanical Contractors Frederick, United StatesW.G./Welch Mechanical Contractors, LLC is a client-oriented mechanical contractor that provides first class plumbing, heating, and air conditioning services within the immediate Maryland-Virginia-Washington D.C. metropolitan area. · **Position Summary**: · Project Managers will o ...
-
Construction Laborer
1 day ago
Fortress Foundation Solutions Frederick, United States**Job description: Construction Laborer** · - **OPEN INTERVIEWS WILL BE HELD 6/3/2024, 9:00AM-3:30PM**_ · **Fortress Foundation Solutions** is a regional foundation repair leader. We are looking for construction workers to join our growing team. We aim to redefine the constructio ...
-
Construction Project Manager
1 week ago
WG/Welch Mechanical Contractors Frederick, United StatesW.G./Welch Mechanical Contractors, LLC is a client-oriented mechanical contractor that provides first class plumbing, heating, and air conditioning services within the immediate Maryland-Virginia-Washington D.C. metropolitan area. · **Position Summary**: · Project Managers will o ...
-
Member Specialist
1 day ago
Sam's Club Frederick, United States**Position Summary...** · **What you'll do...** · Ensures area of responsibility is maintained in accordance with Company policies and procedures by properly handling returns; zoning the area; arranging and organizing merchandise; and identifying shrink and damages. · Provides me ...
-
Personal Shopper
2 weeks ago
Sam's Club Frederick, United States**Position Summary...** · **What you'll do...** · Develops and supports Membership by providing information on Membership benefits, promoting the value of Company products and services, processing Memberships, upgrades, and credit accounts, participating in sales and marketing ev ...
-
General Laborer/machine Operator
1 week ago
Glen-Gery Corporation Frederick, United StatesGlen Gery is opening a Manufacturing facility in Rocky Ridge, MD · We are looking for motivated, hands on hard workers. Experience with manufacturing is ideal · We have General Laborer, Machine Operator and limited Heavy Equipment Operator opportunities for immediate start. · - * ...
-
Plant Operator overnight Shift
2 days ago
Synagro WWT, Inc. Frederick, United StatesSynagro partners with stakeholders to clean our water, protect our environment and serve our communities by generating worth from what others consider waste. We work to protect the health of our water, our Earth and those who depend on them now and in the future. Synagro takes pr ...
-
Activities Assistant
1 day ago
Homewood at Frederick Frederick, United States**Position Details**: · - Status: PRN: · **Join our mission**: · to provide compassionate, professional, and caring service in order to enhance the quality of life for residents, clients, and co-workers. · Step into the legacy of Homewood at Frederick · a cherished part of Homewo ...
-
Cannabis Operations Director
1 week ago
CERES Naturals LLC Frederick, United StatesJob Summary: · We are seeking a highly skilled and experienced Director of Operations to oversee and manage our company's operations. The Director of Operations will be responsible for ensuring the smooth and efficient functioning of all operational aspects of the organization. T ...
-
Pre-ets Coach
1 week ago
RISE Services LLC Frederick, United StatesPre-ETS offer students with disabilities an early start at career exploration and preparation for adult life. Beginning at age 14, students with disabilities can connect with DARS for Pre-ETS. DARS works with students, their families, their schools and community partners to enric ...
-
Community Health Worker
2 weeks ago
Maryland Physicians Care Hagerstown, United StatesJob Type · Full-time · Description · *Candidate must have reliable transportation to Meritus Medical Center in Hagerstown, MD 3-5 days out of the week* · Summary: · Under indirect supervision, this CHW works closely with medical providers, primary care teams, and social servi ...
-
Crisis Worker-Mental Health
1 day ago
EastRidge Health Systems Martinsburg, United StatesEastRidge Health Systems, Comprehensive Behavioral Health Center for the Eastern Panhandle of West Virginia, is looking for individual to join our crisis team to provides outreach assessments to persons in crisis situations and determine intervention strategies. Bachelor's degree ...
Community Health Worker - Frederick, United States - Evolent Health
Description
Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.
Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done.
We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work.
That's one reason why diversity and inclusion are core to our business.Join Evolent for the mission. Stay for the culture.
What You'll Be Doing:
Job Description
Our goal is partnering with the nation's leading health systems in their strategic evolution to positively impact and improve the healthcare delivery system.
Collaboration Opportunities
Our Care Management team offers candidates the opportunity to make a meaningful impact by providing exceptional support for our patients, fostering a sense of job satisfaction through team-approached problem-solving and positive interactions.
Our team values collaboration, continuous learning, and a patient-centric approach, ensuring that every team member contributes to providing better health outcomes for this population.
The Community Health Worker works collaboratively with a team of RN Care Advisors, Social Workers, Pharmacists, Care Coordinators, and Health Educators daily to help coordinate the care of our patients to ensure a holistic approach to helping our patients meet their health goals.
What You'll Be Doing:
The Community Health Worker will work as an extension of the clinical care team.
The person taking this role will be assigned patients and will manage their caseload through in-person, telephonic, and electronic communications, and coordination.
The Community Health Worker must reside or live within 50 miles of
Montgomery, Howard, Northern Prince George
Qualifications Required and Preferred:
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
If you need reasonable accommodation to access the information provided on this website, please contact
for further assistance.**The expected base salary/wage range for this position is $24/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.