- 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
-
Public Health Social Worker, Manager
3 weeks ago
State of Alabama Montgomery, United StatesThe Public Health Social Worker Manager is a permanent, full-time position with the Department of Public Health ). Positions are located throughout the state. This is administrative and supervisory work in directing and coordinating statewide public health social service programs ...
-
Public Health Social Worker, Supervisor
3 weeks ago
State of Alabama Montgomery, United StatesThe Public Health Social Worker, Supervisor is a permanent, full-time position with the Department of Public Health ). Positions are located throughout the state. This is professional and supervisory work involving the direction of a county-wide social work staff or over staffs o ...
-
Social Worker II, Health Svcs CI
1 month ago
State of Maryland - MDH John L. Gildner RICA Montgomery, United States Full timeIntroduction · \r · GRADE · ASTD18\r · LOCATION OF POSITION · MDH-John L Gildner RICA\r · 15000 Broschart Rd\r · Rockville, MD 20850\r · Main Purpose of Job · The main purpose of this full time contractual position is to provide direct care to a variety of children and adolescent ...
-
Adjunct Faculty, Community Health Worker CTE-CE
2 weeks ago
Lone Star College Montgomery, United States Part timeCommitment to Mission · This job carries with it the obligation to uphold the Mission of Lone Star College (LSC) in carrying out the duties of the position. A commitment to positive interpersonal behaviors, professional communication, integrity, leadership, stewardship, respect ...
-
MAINTENANCE CHIEF III Non-Licensed
3 weeks ago
Maryland Montgomery, United States Full timeIntroduction · GRADE · 12 LOCATION OF POSITION · MDH, John L. Gildner RICA, Rockville, MD POSITION DUTIES · The main purpose of this position is to supervise skilled and semi-skilled building and ground maintenance workers. Per the Amended Directive and Order Regarding Va ...
-
Project Manager, Montgomery AL
1 week ago
Partners In Health Montgomery, United States Full timePosition Overview · The Project Manager will join a fast paced and dynamic team accompanying states, cities, and communities across the . in ramping up more effective and equitable public health responses and health systems strengthening. The Project Manager will join a group of ...
-
Discharge Planner
3 days ago
Baptist Health Montgomery, United States Per DiemJob Description - Discharge Planner / MSW - PRN days MSW Job Description Discharge Planner / MSW - PRN days MSW Description Qualifications Masters Degree in Social Work required. · Licensed in Alabama as an LGSW or LCSW or must obtain license within 12 months in position. · Thre ...
-
Medical Assistant
1 week ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. · Escorts patients to exam rooms and ensures proper identification. · Performs and documents vital signs, clinical care quality measures and medical history informati ...
-
Medical Assistant
3 weeks ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · New Hire Bonus for eligible candidates. · The Medical Assistant assists physicians as they assess, examine and treat patients. Responsibilities include patient flow management and various diagnostic procedures such as EKGs, phlebotomy, injections and vitals. ...
-
Phlebotomist (Relief, Days) - Abington
3 weeks ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · The Phlebotomist is responsible for obtaining patients' blood specimens through venipuncture, fingerstick or heelstick as appropriate for the performance of requested tests. The Phlebotomist uses appropriate equipment and complies with phlebotomy policies and ...
-
Thomas Jefferson University Montgomery County, United StatesResponsibilities · The Senior Physical Therapist, is responsible for the evaluation, treatment and discharge planning of all patients referred for their given services. The PT, is an integral healthcare providers accountable to assist the patient to progress to their highest lev ...
-
Lab Assistant
2 weeks ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · The Laboratory Assistant supports lab operations by processing and handling patient specimens for diagnostic testing in an accurate and timely manner and following established protocols. The Lab Assistant is responsible for receiving, centrifuging, storing, an ...
-
Roll Thread
1 day ago
Timken Montgomery, United StatesWhat Timken makes possible begins with you. · Those who came before us helped land a man on the moon, create the world's infrastructure, and introduce renewable energy alternatives. Now you can join the Timken team to write your own unique story and help drive what's next. · A ca ...
-
Locum Physician
1 week ago
LocumJobsOnline Montgomery, United States Full timeLocumJobsOnline is working with Adelphi Medical Staffing to find a qualified Emergency Medicine MD in Gadsden, Alabama, 35903 · About The Position · Job Quick Facts: · • Specialty: Emergency Medicine · • Job Type: Locum Tenens · • Facility Location: Gadsden, AL · • Service Settin ...
-
Thomas Jefferson University Montgomery County, United StatesResponsibilities · PT Assistant provides therapy treatment planning, interventions, and discharge planning, for a full patient caseload in acute care, acute rehab, skilled facility, outpatient settings as appropriate. Demonstrates appropriate communication, professionalism and s ...
-
Lead Baker
2 weeks ago
DiBella's Subs Montgomery County, United StatesBack to job postings Location Dayton, OH Salary Description $ Apply for this job Description · Tired of smelling like a French Fry when you go home, rather smell like delicious bread. · At DiBella's our bread is the most important item we produce. The bread must look and tast ...
-
Patient Access Rep-ER Registration
3 days ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · Emergency Room Registration-FT Overnight shift (11p-7:30a) Every other weekend and every other holiday requirement. 2 weeks of Full Time Day shift training upon hire. · 36 hours weekly-Biweekly work pattern: Week 1-Mon, Tues, Wed, Fri, Sat Week 2-Sun, Tues, ...
-
Patient Access Rep-ER Registration
2 weeks ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · Emergency Room Registration (Full Time 72 hours biweekly) Day shift (rotating 7a/8am start time- 8 hour shifts) with an every other weekend, every other Holiday requirement. · PRIMARY FUNCTION: · High volume, fast paced Emergency/Trauma Center- Under the ...
-
Specialty Pharmacist I
3 weeks ago
Thomas Jefferson University Montgomery County, United StatesResponsibilities · PRIMARY RESPONSIBILITIES: · Interprets physicians' prescriptions and dispenses medications for high dollar specialty and other medications within regulatory, accreditation, and policy guidelines. Provides medication therapy management by actively managing dru ...
-
Seasonal Natural Resources Worker
2 days ago
state of indiana Montgomery, United StatesWork for Indiana · Grow your career with the State of Indiana With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana empl ...
Community Health Worker - Montgomery County, United States - Evolent Health, Inc.
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:
Our goal is partnering with the nation's leading health systems in their strategic evolution to positively impact and improve the healthcare delivery system.
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 Washington, FrederickQualifications 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.
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.
