Community Health Worker - Jackson

Required Skills & Experience

High school diploma or GED required Comfortable using Microsoft Office, Microsoft Teams, virtual private networks (VPNs), mobile hotspots, electronic medical records, and other digital workplace tools.

Valid driver's license Reliable vehicle Verifiable auto insurance Acceptable driving record Ability and willingness to routinely travel Comfortable conducting in-person visits in members' homes and community settings

Nice to Have Skills & Experience

Previous experience in community health work, peer support, outreach, social services, care coordination, or another community-based role. Knowledge of Medicaid, long-term care, waiver services, behavioral health, and social determinants of health.

Job Description

The Community Health Worker (CHW) works as part of an interdisciplinary care team to help members access healthcare and community resources. This position works directly with members in their homes, healthcare facilities, provider offices, community agencies, and through phone or electronic communication.

The CHW helps identify barriers to care, coordinates services and logistics, gathers information for assessments and care plans, provides health education, and supports members in achieving their health and wellness goals.

Main Job Responsibilities

Engage with members in a variety of settings, including:

Members' homes Hospitals Provider offices Community agencies Phone or electronic communication Build professional, supportive relationships with members and families Accompany members to medical appointments and social service visits when needed

Coordinate logistics that support care plan goals, including:

Transportation Appointment reminders Childcare arrangements

Gather member information to support assessments, including:

Demographics Eligibility and enrollment history Current health status Information from members, families, providers, and other stakeholders Assist with the development and implementation of individualized care plans under the direction of the Case Manager Identify and help address barriers to care and services Connect members with appropriate community and social resources Support and empower members to improve their health, wellness, safety, and ability to manage their own care Provide health education and wellness materials as directed by the Case Manager or Team Lead Monitor member concerns and satisfaction and communicate issues to the appropriate team members Maintain accurate and timely documentation within Care Management guidelines Collaborate with Case Managers and other members of the interdisciplinary care team (ICT) Identify opportunities to improve processes and the overall member experience Regularly travel for member, provider, and community-based visits