Community Health Worker, Remote

Aledade - Adrian, MI

Full-time - Entry Level

Remote - Adrian, MI

Ambulatory Health Care Services

About the position

We are searching for a Community Health Worker to join the team! As a Community Health Worker, you will work closely with the physician organization, medical providers, primary care teams, and social services agencies to provide short-term care coordination related to Social Determinants of Health (SDOH) needs. Coordination to include linkage to community resources and support programs, assisting patients to improve their health and general well-being through education and provision of appropriate services.

Responsibilities

• Conducts outreach to targeted patient population to identify community resource needs.
• Conducts SDOH screenings on patients.
• Assists patients in identifying socio-economic issues that affect their overall health and in developing self-management plans and goals.
• Documents all patient encounters; completes and submits monthly reports; maintains comprehensive electronic patient files.
• Facilitates communication and coordinates services between providers and the patients, and tracks patient compliance with the care plan objectives.
• Provide appropriate billing code for services provided.
• Creates and maintains a comprehensive community resource database relevant to clinics' patient populations.
• Participates in care team meetings and contributes to the patient plan of care.

Requirements

• High school diploma or GED
• CHW certification or willingness to obtain upon hire
• 1 year experience relevant to position and responsibilities
• Strong interpersonal and community skills and ability to work effectively with a diverse community
• Knowledge of community resources and agencies, for example- knowledge of transportation and other barriers to care
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services
• Ability to plan, implement, and evaluate individual patient care plans
• Ability to communicate medical information to patients over the phone
• Skill in use of personal computer and related software applications, including email and excel
• Creative and analytical thinking

Nice-to-haves

• Knowledge of the PCMH and PCMH-Neighbor (PCMH-N) models of care
• Experience with EHRs, disease registries, or other medical software
• Billing and coding experience

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners
• Robust time off plan 21 days of PTO in your first year
• 2 Paid Volunteer Days & 11 paid holidays
• 12 weeks paid Parental Leave for all new parents
• 6 weeks paid sabbatical after 6 years of service
• Educational Assistant Program & Clinical Employee Reimbursement Program
• 401(K) with up to 4% match
• Stock options