Community Health Worker, Complex Care

NeighborHealth Corporation; Boston (MA); Remote; USD 30,000 - 39,000; Part time

Job summary

NeighborHealth Corporation is seeking Community Health Workers to join our care team. You will engage enrollees in person, on the phone, and in their homes to coordinate care, connect to resources, and support health goals for a population with complex medical and behavioral needs.

This role requires a Bachelor's Degree or equivalent experience, 20 hours per week, and the ability to work across diverse communities in the greater Boston area.

Qualifications

• Bachelor's Degree required or HS Diploma with equivalent experience.

Responsibilities

• Conduct outreach calls to encourage enrollees to participate in care management programs.
• Develop outreach plans based on individual, family, and community needs.
• Identify and share referrals and resources to help individuals and families meet needs.
• Gather information from multiple sources to understand clients and communities.
• Initiate and sustain trusting relationships with individuals, families and care teams.
• Engage individuals and groups in diverse settings using various outreach methods.
• Provide care coordination, including referrals and follow-up.

Skills

Outreach

Care coordination

Cultural mediation

Communication

Education

Bachelor's Degree

HS Diploma with equivalent experience

Job description

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community!

Time Type: Part time

Department: Quality

All Locations: 151 Orleans Street

Position Summary: NeighborHealth is seeking Community Health Workers to join our Care Team. You will join our team of nurses, social workers, care coordinators, providers, and pharmacists, where you will have the opportunity to make a profound impact on the lives of underserved individuals and families (ages 0 to 65) living with complex and/ or chronic medical and behavioral conditions. You will connect with your enrollees in person, on the phone, and in NH - essentially however and wherever the enrollee needs your assistance to improve their health, better understand their illness and coordinate their care. Must be prepared to work from NH, or within enrollee's homes. Schedule 20 hours per week. Monday - Friday, between the hours of 8 am to 5 pm with 1 hour unpaid lunch, occasional evening or weekend Education

Bachelor's Degree required or HS Diploma with equivalent experience

Experience:

• Conduct initial outreach calls to encourage enrollees and care givers to participate in care management programs
• Develop and implement outreach plans in collaboration with team colleagues, based on individual, family, and community needs, strengths and resources
• Identify and share appropriate information, referrals, and other resources to help individuals, families, groups and the primary care team meet their needs
• Gather and combine information from different sources to better understand clients, their families and communities
• Initiate and sustain trusting relationships with individuals, families, social networks and primary care team
• Use a range of outreach methods to engage individuals and groups in diverse settings
• Share community assessment results with colleagues and community partners to inform planning and health improvement efforts
• Act as a cultural mediator by educating and supporting providers in working with clients from diverse cultures and help clients and community members interact effectively with professionals to promote health, improve services, and reduce health care disparities. Addresses language and cultural barriers to care
• Coaches and guides member/representative to meet both personal and clinical goals
• Work with individuals, family, community members, primary CM and primary care team to address issues that may limit opportunities for healthy behavior. This includes completing Social Determinants of Health (SDOH) screen and other tactics to obtain barriers to care
• Provide care coordination, which may include but not limited to facilitating care transitions, supporting the completion of referrals, and providing or confirming appropriate follow-up
• Help bridge cultural, linguistic, knowledge and literacy differences among individuals, families, communities, and providers
• Helps member/representative access community and government-based service agencies including completing paperwork for the member.
• Helps teach the member/representative and/or care giver about symptom response plans
• Participates in the integrated care team meetings and rounds as required
• Travel throughout assigned area and engage members at their homes/ hospitals/community-based locations and or accompany members to appointments as appropriate. As needed, cover other areas in person or via telephonic support
• Creates and maintains a comprehensive inventory of local community resources, improving accessibility for patients and providers, and linking patients with the appropriate support services
• Establishes relationships with community agencies, resources and supports that are relevant to a Medicaid Population.
• Assist with Medicaid applications, food, and nutrition benefits, housing applications, coordinating transportation, etc.
• Be fully accountable for the completion of work within established timeframes and for achieving the goals established for the enrollee/family.
• Ensure that all services are offered in a culturally and linguistically appropriate manner, and with disability competence.
• Working in a clinical or special services setting with Medicare, Med