Community Health Worker

Duties and Responsibilities:

Responsibilities include, but are not limited to, the following:

• Must be comfortable completing visits independently and as part of a team in patients' homes. Perform 4-5 home visits per day to follow up on member's needs, assessments on patient's basic social and human needs.
• Educate patients on alternatives to emergency room for non-emergent care; assist, train and coach patients to obtain, schedule and reschedule health care appointments; explore transportation options and provide tips and techniques to ensure follow-up with service providers.
• Provides direct care in patients' homes related to vitals, lab testing and phlebotomy, if applicable. Communicates findings with providers and documents in EMR.
• Serves as patients' key contact with health care team and facilitates interpretation abilities when applicable. Supports transitional care management process.
• Identifies potential medical or behavioral health concerns and collaborates with nurse practitioner (NP) and/or supervisor and other healthcare providers.
• In collaboration with care team coordinates the provision of services/care to meet the patient's social and health needs. Provides assistance to patients, families and caregivers to access basic resources such as food and housing.
• Collaborates with other health professionals, including contacting primary care provider offices, care management staff and community social service agencies on behalf of the patient.
• Effectively collaborates with Management, Community Health Coordinators and Nurse Practitioners and fosters collaborative teamwork to ensure comprehensive, patient centered care.
• Prepares and participates in team meetings.
• Maintains appropriate written and oral communication and documents patient encounters and updates the EMR within established time frames.
• Oversight for supporting departmental HEDIS Measures.
• Cross trains with Community Health Coordinator role.
• Maintains patient confidentiality within legal and regulatory parameters.
• Other duties as assigned.
• Corporate Compliance Responsibility – As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co‑workers, professional affiliates and/or agent.

Required:

• High school diploma or equivalent
• Two (2) years' experience in providing direct patient care in the home
• Healthcare Provider CPR certification or ability to obtain in 60 days from hire
• Computer Literacy:
  Strong PC and Microsoft Office, including experience in Outlook and Electronic Medical Record (EMR) experience
• Ability to work well in multidisciplinary team setting
• Ability to perform basic medical assessments, including but not limited to blood pressure, finger sticks and pulse oximetry
• Ability to communicate and relate to individuals and families of various ethnic and cultural backgrounds, ages and economic status
• Self-motivated with strong organizational, prioritization and time management skill
• Must have access to reliable transportation. A personal vehicle, a valid and current driver's license, and active auto insurance are required. Frequency of travel: daily
• Compliant with State of RI immunization regulations for healthcare workers

Preferred:

• Certified Nursing Assistant (CNA) license
• Medical Assistant (MA) certification
• Community Health Worker RI certification
• Bilingual in Spanish (read, write and speak)

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.