Community Health Worker Certified

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Works within the community providing outreach to patients with complex medical and social needs. Acts as a resource to assist patients in navigating the health care system. Job Duties: Orientsandassesses newCommunityHealthWorkers. Providesregular assessmentofthelevelofproficiencydemonstratedbystaffduring theorientationperiodinordertosupport decisions to move staff along in training or refocus until proficiency is met. Assistsintheidentificationandoutreachofmedicallycomplex patients. Collaborateswiththemultidisciplinaryteaminthedevelopmentandimplementationofthecareplan. Engagespatients bywayofphonecall, homevisit,hospital visit,andaccompanyingpatientstoProvidersappointmentsasneeded. Completesvitalsigns. Identifiesgapsincareandconnectsmembers withresources. Facilitatestelemedicinevisits withmembersandproviders. Performsdiseasespecificeducation. ConductsMedicationReviewtoensuremedicationadherence. Conductssafetyevaluationsinpatientshome. Facilitatesadherencetotreatmentplanbyearlyidentificationandresolutionofgapsincare. Communicatesallconcerns toclinicalteamandmanager asnecessary,seeking supportandguidance proactively. Participatesinmultidisciplinaryteamconferenceinordertomaximizethetreatmentplan. ProvidesreinforcementofthetreatmentplanunderthedirectionoftheCaseManagerandLicensedSocial Workerand is available for consultat