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Charleston

    Community Health Worker- Charleston, SC - CenterWell Senior Primary Care

    CenterWell Senior Primary Care
    CenterWell Senior Primary Care Charleston, United States

    1 week ago

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    Description

    The Role

    This is a unique opportunity to directly connect with patients on the barriers most affecting their ability to engage in the care they need, and subsequently work to find solutions that positively impact their quality of life. We are looking for individuals who are:

    • Dedicated to serving at risk populations most in need of additional supports
    • Creative problem solvers
    • Enthusiastic about working in a fast paced and developing market

    Working within an interdisciplinary care team, the Community Health Worker is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.

    This role requires an understanding of how socioeconomic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications.

    This role has a mobile presence, involving travel to patients homes, treatment facilities and community-based settings, and assigned clinics to facilitate and foster connections.

    Job Functions

    • Develop a wholistic view of patient needs related to Social Determinants of Health
    • Identify existing barriers to engagement with necessary resources and supports
    • Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
    • Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
    • Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
    • Supporting patients self-determination, motivate patients to meet the health goals they have identified
    • Conduct Transitions of Care for Observation stays
    • Refer patient to necessary services and supports
    • This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
    • Perform all other duties and responsibilities as required

    Organizational Responsibilities

    • Participate in interdisciplinary review of and coordination around complex patients
    • Maintain patient confidentiality in accordance with HIPAA
    • Document patient encounters in medical record system in a timely manner
    • Follow general policies related to fire safety, infection control and attendance

    Required Qualifications

    • High School Diploma or equivalent
    • Community Health Worker certification, or willingness to complete within one year
    • Minimum of 2 years of experience working in human services and navigating community-based resources

    Preferred Qualifications

    • Bachelors Degree in applicable discipline
    • Familiarity with state Medicaid guidelines and application processes
    • Experience working with patients with behavioral health conditions and substance use disorders
    • Prior experience conducting home visits and knowledge of field safety practices
    • Training as an LPN or LVN
    • Training as an EMT or paramedic
    • Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistance preferred

    Skills/Abilities/Competencies Required

    • Ability to multi-task in a fast-paced work environment
    • Flexibility to fluidly transition and adjust in an evolving role
    • Excellent organizational skills
    • Advanced oral and written communication skills
    • Strong interpersonal and relationship building skills
    • Compassion and desire to advocate for patient needs
    • Critical thinking and problem-solving capabilities

    Working Conditions

    This role has a mobile presence, involving travel to patients homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections.

    Workstyle: Combination in clinic and field, local travel to meet with members

    Location: Must reside in Charleston, SC area

    Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

    Tuberculosis (TB) screening: This role is considered member facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

    Driver's License, Reliable Transportation, Insurance

    This role is part of Humana's Driver safety program and therefore requires an individual to have:

    • a valid state driver's license,
    • proof of personal vehicle liability insurance with at least 100/300/100 limits,
    • and a reliable vehicle.

    Benefits

    Health benefits effective day 1

    Paid time off, holidays, volunteer time and jury duty pay

    Recognition pay

    401(k) retirement savings plan with employer match

    Tuition assistance

    Scholarships for eligible dependents



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