Job Description

About Care at Home

Company Overview

Care Medical Practice is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to Black and Brown communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patients’ race, culture, and environment is critical to delivering improved health outcomes. By empowering our patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day.

Position Overview

Reporting to the Community Care Manager, the Community Health Worker is a member of the Care Medical Practice interdisciplinary care team, providing in-home support to Care Medical Practice's family members and their families as they navigate the often-complex health care systems. This role serves as a vital link between members, their communities and care providers. Through addressing individual members’ unique barriers to care and social determinants of health, the Community Health Worker ensures improved health outcomes and overall quality of care in coordination. They are a member advocate, ensuring that their voices are heard, and their needs are met within the healthcare system. This position is a community-based position that will require you to be in the community and meeting with members face to face in their homes, at doctor appts, libraries, or other locations within the community agreed upon by the participant and the CHW.

They should embody Care at Home’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded . At Care at Home, we don’t have patients or customers – we have Family Members.

Key Responsibilities

• Establish rapport with patients and their families to facilitate open communication and understanding of their health needs during transitions, providing patients with essential information about their health conditions, and self-management strategies, as directed by clinical team.
• Conduct in-home monthly or bimonthly visits with members based on risk stratification.
• Conduct telehealth video visits with appropriate clinical or social resources to address the member’s real time clinical, behavioral or social needs. Ability to utilize appropriate monitoring equipment for telehealth video visits.
• Collaborating with healthcare providers, social workers, and community organizations to ensure that patients receive comprehensive care. This includes scheduling follow-up appointments, arranging transportation, and coordinating home health services.
• Assisting members in navigating insurance and healthcare policies, accessing community resources, such as financial assistance programs, housing support, and healthcare services, to help them manage their health effectively.
• Being sensitive to the diverse cultural backgrounds of patients, ensuring that care is respectful and tailored to individual needs.
• Utilize evidence-based assessments and approaches to help members identify and prioritize their health, address social challenges and utilize community-based resources.
• Establish and maintain working relationships with primary care providers, interdisciplinary teams, and community-based programs to ensure coordinated care for members
• Engage in care coordination efforts to assist members in identifying barriers to health and well-being and collaborate to address those challenges effectively.
• Accurately document all visits, and member interactions in the electronic medical record (EMR) and team tracking systems.
• Maintain detailed records to ensure continuity of care and assist in monitoring the progress of members
• Perform other job-related duties as assigned.

Required Qualifications

• Education: Associate degree or a combination of education and experience required; B.S or B.A. preferred
• Experience: 2+ years in the healthcare arena or exposure to health care systems required. Experience as a Community Health Worker or equivalent supporting vulnerable populations required.
• License/Certification: CPR certification is required. CHW certification is a plus.
• Communication: Excellent verbal, written communication, and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to Care Medical Practice's team and members with the ability to build trust and rapport, in-person and over the phone, with individuals from diverse backgrounds.
• Entrepreneurial: Care Medical Practice's seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for proactive and creative problem solving to ensure Care Medical Practice's is positioned to innovatively deliver on its promise.
• Relationships: Ability to build and effectively manage relationships internally and externally.
• Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial company.
• Unrestricted driver’s license in home state required
• Ability to work collaboratively with healthcare teams and community organizations to address the complex needs of participants.
• Experience working with electronic medical records (EMR) and care management system
• Strong knowledge of HIPAA regulations and ability to handle sensitive and confidential information with discretion.

Benefits

Financial Well-being

• Competitive Compensation: We offer competitive salaries to attract and retain the best talent.
• 401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match.

Health and Wellness

• Comprehensive Medical Plan: We proudly offer the Highmark BCBS plan with an 85% employer contribution, covering your entire family.
• Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.
• Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.
• Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.

Additional Perks

• Continuing Medical Education (CME) Allowance: Stay at the forefront of your field with our CME allowance.
• Commuter Benefits: Save on your commute with our commuter benefits program.
• Mileage Reimbursement: Get reimbursed for work-related travel expenses.

Physical Requirements

Work Environment and Physical Expectations: This role takes you into the heart of the action, working directly with clients and communities in dynamic settings. Whether in-home, assisted living, or community environments, you’ll make a tangible difference in people’s lives while enjoying the variety and flexibility of fieldwork.
In this role, you will:

• Travel frequently to engage with clients and team members, embracing opportunities to navigate diverse environments.
• Communicate with individuals effectively and compassionately, building trust and delivering exceptional care.
• Alternate between seated, standing, and active movement throughout your day, ensuring adaptability in every scenario.

Occasionally manage materials (up to 50 lbs.) to support your mission-driven responsibilities. Your dedication and adaptability will fuel transformative outcomes in this dynamic, impactful role.

Join us in creating a better way to care!

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