- Ensure patient information remains secure and confidential.
- Develop a database of grant-funded and community resources, i.e., food banks, transportation, churches, etc.
- Participates in center and market interdisciplinary team meetings, i.e., Weekly Utilization Medical Cost Meeting
- Assist patients in applying for government and community assistance or additional support, i.e., Medicaid, energy assistance, etc.
- Provides concise and thorough documentation through progress notes, including progression and attainment of goals, referrals to internal and external agencies, and contact/involvement with the patient's family.
- Support the members in improving their well-being by staying out of the hospital and attending regular visits to their primary physician via education, clinical resources, and/or membership follow-up.
- Support the members in ensuring the pick-up of their prescriptions by providing education, quality compliance, and membership follow-up.
- Acts as a liaison and advocate between the patient, family, physician, and facilities/agencies
- Proactively engage the members to manage their own health and healthcare decisions.
- Provide members with education on community resources and benefits.
- Listen actively, communicate with empathy, and respectfully gather information.
- Conduct outreach to encourage participation in health-related programs, services, and/or providers.
- Use methods that promote learning and positive behavior change.
- Use a variety of interactive teaching and coaching methods for different learning styles
- Perform other duties as assigned.
- Currently resides in the Sage Health Medical Center City/County
- Valid driver"s license, car insurance, and access to an automobile
- Must be able to travel between multiple healthcare facilities, i.e., centers, hospitals, skilled nursing facilities, and patient homes.
- Ability to travel locally up to 90% of the time.
- Must have at least two years of experience within the community/city.
- Attain Community Heath Worker certification within one year of hire.
- Experience working with the needs of vulnerable populations.
- Excellent interpersonal, written, and verbal communication skills
- High School Diploma/GED
- Bilingual (English/Spanish) (read, write, and speak) preferred.
- Current Certification as a Community Health Worker by the State
- At least 5 years' experience in the delivery of services that are resident-driven and work with families to address multiple issues in-home and/or community-based environment
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Community Health Worker - Montgomery, AL, United States - Sage Health
Description
About Sage Health
We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They've earned it.
Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.
Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.
All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact
About the role
POSITION SUMMARY
Community Health Worker is part of the Sage Health care team that plans/implements culturally sensitive and effective in-home outreach and in-center services while ensuring that the services provided align with the Sage Health model of care. This position is responsible for delivering outreach education services as a health advocate, providing information regarding community resources, and encouraging visits to their Sage Health provider. Community Health Workers also engage patients, create trusting relationships, and provide care coordination and management to patients with social determinants of health challenges, high emergency department and inpatient utilization rates, and significant financial vulnerability.
What you"ll do
PRIMARY RESPONSIBILITIES:
Qualifications
REQUIRED QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
Reports To : Operations Director
The pay range for this role is:USD per hour(Montgomery)
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