Community Health Worker

2 weeks ago

Rancho Cucamonga, United States Inland Empire Health Plan Full time
What you can expect

Find joy in serving others with IEHP We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience

Under the direct supervision of the Enhanced Care Management Department Leadership, the Community Health Worker - ECM (CHW-ECM) will be responsible for supporting Members in improving their whole health, through outreach and engagement activities, which are primarily field based. The CHW - ECM works closely and collaboratively with the Enhanced Care Management team (ECM), as well as with the designated HCO medical teams, to ensure high quality and seamless care for Members.

Key Responsibilities:

1. Responsible for assisting Members in navigating the healthcare system by finding and following up by phone and in person with hard-to-reach Members, helping Members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing information on barriers with IEHP and Providers to improve the Enhanced Care Management team.
2. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community.
3. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member’s sense of control over their whole health.
4. Delivering information about health and wellness in ways that the community can easily understand and providing information on IEHP Member benefits and services.
5. Providing advocacy on behalf of IEHP Members in the home, the community, and in provider organizations.
6. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax.
7. Responsible for assisting the Enhanced Care Management team and Providers to understand the culture, norms, beliefs and preferences of the Members and their community by representing the voice of the community, helping to create messages and materials that fit community culture, and delivering these messages in a way that fits the culture of Members.
8. Responsible for promoting a collaborative and effective working environment within the Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions.
9. Collaborates on Member care issues with other Enhanced Care Management Team Members and consults with Nurse Care Manager and/or the Behavioral Health Care Manager before taking any action that is clinical in nature.
10. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team.
11. Ensures documentations is accurate, useful and in compliance with regulatory requirements and accreditation standards.
12. Participates in all appropriate staff meetings or other activities as needed.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Competitive salary.
Hybrid schedule.
CalPERS retirement.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance

Education & Experience

High school diploma or GED required.
Has successfully completed an approved Community Health Worker program or will complete within six (6) months of hire.
Two (2) years of experience as a Community Health Worker, Promotora, or Health Navigator, or two (2) years of experience working in community outreach, customer service, or within a medical office, or a Behavioral Health or Substance Use Disorder program required.

Key Qualifications

Knowledge of the community the CHW will be working in, especially non-professional resources, and their reputation in the community. Understanding of and sensitivity to mental health conditions and addictive disorders. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both. Understanding of, and a commitment to, high preforming team practices.

Start your journey towards a thriving future with IEHP and apply TODAY

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