Community Health Worker *UPMC

Description

*Hybrid position with variable hours; 9-6, 10-7 with 3 days a week onsite*

Summary:

Under indirect supervision, this CHW works closely with medical providers, primary care teams, and social services agencies to provide short-term care coordination and connection to resources and support to program members to improve their health and general well-being through education and coordination of care and services. Works in both clinical and community-based settings. This person will get to motivate patients to be active and engage participants in their health and overall well-being!

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

What You'll Be Doing:

• Assist members in their homes, community, or clinic setting. Communicate to members the purposes of the program and the impact it may have on their well-being. Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
• Document all member encounters and contracts made on behalf of members; complete and submit monthly reports; maintain comprehensive electronic member files, which include member notes, the release of information, assessments, and other medical documents acquired on behalf of the member.
• Educate members on the proper use of the Emergency Room and provide information for alternatives. Coach patients in effective management of their chronic health conditions and self-care. Assist patients in understanding care plans and instructions.
• Assist members in assessing health-related services, including but not limited to obtaining a medical home, providing instruction on the appropriate use of the medical home, and overcoming barriers to obtaining needed medical care and/or social services.
• Provide assistance and advocacy during initial medical visits or when necessary to ensure members' medical needs and referrals required are being conveyed.
• Continuously expand knowledge and understanding of community resources and services. Facilitate member access to community resources, including locating housing, food, clothing, prenatal classes, parenting, and providers to teach life skills and relevant mental health services. Assist members in utilizing community services, including scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible.
• Maintain positive working relationships with members, providers, nurse case managers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds. Works to reduce cultural and socio-economic barriers between members and institutions.

Secondary Functions:

• Observe the confidentiality of member records by MPC policies and procedures.
• Must be available and willing to travel 75% to Cumberland, MD.
• Must know Microsoft Office Applications.

Requirements

Knowledge and Skills:

• 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 member care plans.
• Knowledge of transportation and other barriers to care that may be encountered by the member.
• Ability to communicate medical information to health care professionals and care coordinators over the telephone.

Education and Work Experience:

• High school diploma or GED.
• 2 years experience in serving the Medicaid population, preferably in the MD/DC area.
• Community Health Worker or Certified Community Health Worker is preferred.
• Prior work in Care Management is preferred.
• Experience in the Emergency Department is a bonus.

EEOC Statement:

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.