Healthcare Navigator

2 weeks ago

Marquand, Missouri, United States Engaging Solutions, LLC Full time
Job Title: Community Health Worker

At Engaging Solutions, LLC, we are committed to providing tailored business solutions that improve the quality of life for everyone in the communities we serve. As a Community Health Worker, you will play a vital role in our mission by serving as the initial and main point of contact between our company and our members.

Job Summary:

The Community Health Worker will administer care through the newly created Indiana PathWays for Aging program, which focuses on integrating care for long-term services and supports (LTSS). This role requires strong interpersonal and communication skills, as well as the ability to work independently and effectively with others.

Key Responsibilities:
  • Coordinate follow-up care plan needs for members by scheduling appointments or enrolling members in programs
  • Support member access to care, including providing support over the phone when needed
  • Make referrals to Case Management Services
  • Assess member compliance with medical treatment plans via telephone or through on-site visits
  • Identify barriers to plan compliance and coordinate resolutions while ensuring alignment with internal company teams
  • Aid in accessing various community resources (education, housing, transportation, recovery supports, etc.)
  • Recommend treatment plan modifications and determine need for additional services, in conjunction with case management and provider
  • Coordinate identification of and referral to local, state or federally funded programs
  • Participate in cross-functional teams on projects, initiatives, and process improvement activities
  • Maintain the confidentiality of all sensitive information
Requirements:
  • Ability to complete required member visits per week
  • Strong interpersonal and communication skills
  • Ability to communicate effectively with people from diverse socio-economic levels and backgrounds
  • Superior organization skills
  • Must be able to work independently and effectively with others
  • High degree of computer literacy is preferred
  • Ability to handle protected health information and personally identifiable information in accordance with HIPAA requirements
Education, Work Experience, Licensure:
  • One of the following certifications preferred (not required): Community Health Worker, Recovery Specialist, Peer Recovery Support Specialist, Licensed Clinical Social Worker
  • Ability to obtain a valid Indiana driver's license, proof of valid insurance, and access to reliable transportation
  • High School Diploma or equivalent GED
  • One-three years of experience in health and human services, Public Health, Medicaid, Medicare, Managed Long Term Supportive Services, or behavioral health field working in a diverse community-based setting
  • Bilingual candidates preferred
  • Working knowledge of community-based populations, medical conditions and/or disabilities
Environment/Physical Demands:
  • Ability to continuously stand or walk. Ability to bend, climb stairs with the potential for frequent lifting
  • Ability to lift up to 25 pounds, occasionally
  • The remote position requires the individual to work from home or established work site. Must have dedicated space within home to operate fully
  • This position requires frequent driving which requires the ability to sit for long periods of time. Must provide proof of a valid Driver's License and valid insurance coverage
  • This position requires the employee to conduct home visits in members' homes which requires the individuals to obtain and exchange information and assist the member with resolving simple to complex issues related to their accessing their health care benefits. The work requires frequent communication which requires ability to express self and receive information

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