Community Health Worker - Enhanced Care Management

6 days ago Be among the first 25 applicants

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non‑profit 501(C)(3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

The Community Health Worker (CHW) is responsible for working effectively with Enhanced Care Management (ECM) members to improve their whole health through outreach and engagement activities, which are primarily field based. This position works collaboratively as part of the Enhanced Care Management team, members and families, and other professionals and works with the designated primary care provider (PCP) care team.

Schedule:

hybrid. On‑site expectations are dependent on performance. Proposed schedule:
Monday–Friday 8:30 AM–5:00 PM (30‑min lunch).

• Assists members in navigating the healthcare system by finding and following up by phone and in‑person with eligible ECM members
• Helps members participate in their medical and/or behavioral healthcare by overcoming barriers to care
• Documents and shares member barriers with ECM team and PCP to improve care and outcomes
• Utilizes evidence‑based approaches when engaging with patients to increase their sense of control over their health, such as motivational interviewing to promote collaboration between patients and their medical/behavioral care team
• Communicates and delivers easy‑to‑read information about health and wellness to the community and provides information on Home Health Plan (HHP) member benefits and services
• Advocates on behalf of ECM members in the home, community, and provider organizations
• Builds and maintains a positive working relationship with providers, including interactions within provider offices, phone, email, fax, and other approved communication methods
• Assists the ECM team and providers to understand the culture, norms, beliefs, and preferences about patients and their communities by representing the community’s voice
• Helps create messages and materials that fit community culture and delivers messages to fit the culture of members
• Works collaboratively within the ECM team to discuss responsibilities, task sharing, conflict resolution, and member case reviews
• Collaborates on member care issues with other ECM team members
• Participates in weekly case reviews and consults with the member’s PCP before taking any clinical action
• Ensures documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards
• Participates in required staff meetings or other activities

• High school/GED required
• Two years of healthcare, behavioral health, or social services industry experience required
• Valid CA Driver’s License and proof of auto insurance required
• Experience working in outreach and customer service within the medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues preferred
• Bilingual (English/Spanish) preferred

• Ability to sufficiently engage members in a variety of settings (phone, in person/homes and/or care settings, such as hospitals)
• Knowledgeable about the community, especially non‑professional resources and their reputation in the community
• Ab…