Field Based Community Health Worker

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. Join us and start doing
your life's best work.(sm)

The Field Based Community Health Worker is responsible for identifying and initiating referrals for social service programs, including financial, psychosocial, community and state supportive services. As a
Field Based Community Health Worker (CHW), you will act with Medicaid members to ensure to provide home and social resources and member resource education. The Field Based Community Health Worker also addresses social determinants of health such as transportation, housing, and food access.

Together, we're removing the barriers that keep people from receiving the kind of quality healthcare that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well - being.

Working

Schedule:

This position is full time, 40-hour work week, Monday - Friday between the hours of 8:00 am - 6:00 pm Mountain Standard time.

The schedule will be determined by the manager upon hire.

Location: 1145 Westmoreland Drive El Paso, TX 79925

• Assess, plan, and implement care strategies that are individualized for each member and directed toward the most appropriate, lease restrictive level of care
• Utilize both company and community-based resources to establish a safe and effective case management plan for members
• Collaborate with member, family, and healthcare providers to develop an individualized plan of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
• Manage care plan throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team
• Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
• Monitor services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
• Reports medically complex cases to appropriate roles as necessary for review and problem solving
• Provides administrative support for care coordination Level 1 and Level 2 Service
• Coordinators as identified
• Coordinates care and efficient utilization of health care resources for patients identified in the Starplus program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members
• Refers member to disease management team
• Maintains status on telephonic Service Coordination phone calls from the members and/or LARs to meet regulatory requirements
• Ensure thorough knowledge of the Star+Plus contract and meet all Service Coordination contract requirements
• Performs other duties as assigned

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• High School…