Community Health Worker
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Job Location:
Michigan, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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.
Primary Duties:
- 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. Documents activities treatment plans and outcomes achieved by patients in an effective manner.
- 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
Minimum Qualifications:
- High school diploma or GED
- CHW certification or willingness to obtain upon hire
- 1 year experience relevant to position and responsibilities
- Resident of Michigan or bordering state
- 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
Preferred Qualifcations:
- 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
Physical Requirements:
- Prolonged computer work
Who We Are:
Aledade a public benefit corporation exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014 and since then weve become the largest network of independent primary care in the country - helping practices health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally by creating value-based contracts across a wide variety of health plans we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients good for practices and good for society - and if youre eager to join a collaborative inclusive and remote-first culture - youve come to the right place.
What Does This Mean for You
At Aledade you will be part of a creative culture that is driven by a passion for tackling complex issues with respect open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences interests backgrounds beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment we offer the following comprehensive benefits package designed for the overall well-being of our team members:
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)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade we dont just accept differences we celebrate them! We strive to attract develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit qualifications performance and business needs. All qualified candidates will receive consideration for employment without regard to age race color national origin gender (including pregnancy childbirth or medical conditions related to pregnancy or childbirth) gender identity or expression religion physical or mental disability medical condition legally protected genetic information marital status veteran status or sexual orientation.
Key Skills
- Abinitio
- Lotus Notes
- Advocacy
- Apache Tomcat
- Informatica
- Interpretation
About Company
Aledade works with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.
