We are currently seeking a Community Health Worker to serve members in Wake County.
The Community Health Worker uses engagement strategies and strong community connections to assess and assist members to identify and seek resources that support their unmet health needs, while providing education on, and connection to their benefits. Connecting with members in the community is an essential requirement for building relationships and trust with members. Additionally, this position functions as a consultant within the Care Team to address barriers related to unmet health needs.
This position will allow the successful candidate the ability to work remote certain days of the week. The employee will also be required to come into the office on certain days as approved by their supervisor. This position will require travel within the communities Alliance serves.
Responsibilities & Duties
Assessment
Complete SDOH assessments (and reassessments), such as, not limited to, Care Needs Screening and Healthy Opportunities
Review completed SDOH assessments and/or update activities to address SDOH needs that emerge when completing plan of care (POC) activities
Assist members with engaging additional services/community resources such as the Community Inclusion Planning Meeting (CIPM) prior to closing a POC
As applicable, assess member awareness of and connection with Competitive Integrated Employment, or like supported employment services and programs
Member Engagement & Education
Meet members where they are; emotionally, socially, intellectually, and physically
Provide face to face and field/community-based support to each member (metrics for minimum required in-person engagement)
Support members to complete processes to access resources and supports, as applicable
Support members in understanding how to utilize resources and supports provided, as applicable
Support SDOH barriers to accessing care
Support health promotion, as applicable
Partner with the member and care team to identify goals and member centered plan
As applicable, educate members on engage them into care coordination or care management supports
Facilitate and Ensure Connection to Resources that Meet Member Needs
Identify, problem solve, and work to overcome support needs for members regarding social determinants of health
Submit referrals, and track outcomes, in NCCARE360 Platform to connect members to community service providers
Support member with completion of applications for, to include, but not limited to, housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resources
Support member to become an engaged and active member in their community (eg. community organizational membership, relationships with neighbors, building of non-paid social network)
Review eligibility and linkage to all internal programs including but not limited to flex funds, independent living initiative (ILI), other housing programs, the CIPM, and facilitate community inclusion planning with Community Health and Well-Being Department
As applicable, refer member for assessment of eligibility for Competitive Integrated Employment, or like supported employment services and programs, and connect member to services and programs, as applicable
Collaboration
Attend meetings related to care planning and resolving SDOH needs
Collaborate with primary Care Manager regarding new needs identified in the referral process and discuss incorporation into plan of care
Work within the organization to leverage programs and interventions to maximize member experience and to build social capital in member’s community of choice
Develop in depth knowledge of various community systems and provide consultation and technical assistance to MCO clinical departments regarding available resources
Collaborate with providers and providers of care management services to Alliance members
Represent Alliance in System of Care activities to ensure an integrated System of Care approach for child and adult service systems
Support Community Engagement team at Alliance, for community capacity network building and resource development
Provide Benefits Consultation to Members
Ensure members know what benefits they are eligible to receive
Assist members to enroll in benefit plans
Communicate with Medicaid and Medicare benefit program Case Managers to resolve issues
Assist with Medicaid enrollment and work with DSS to address enrollment issues
Notify DSS of benefit issues and develop action plan to resolve
Documentation
Maintain medical record compliance/quality
Ensure timely documentation of Care Coordination activities as required by department policy and procedures
Document in the CM Platform System (Jiva) and in the Statewide SDOH Platform (NCCare360 Platform); other systems as identified
Monitor and Review Health Opportunity Assessment and Authorization Data in NCCARE360
Support/add to existing plan of care or create one with the member, as applicable, within the CM Platform
Compliance
Comply with organizational and departmental Policies, Procedures, Processes, Workflows and Fidelity of Service Engagement Model
Knowledge, Skills, & Abilities
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of community specific financial planning resources
Knowledge of regulations and statutes specific to 1915(b) and (c) waiver services including licensure type required for facility-based services, and staffing and supervision requirements (LTS and TBI Care Managers only)
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers.
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Detail oriented,
Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
Must demonstrate flexibility and adaptability.
Required Education & Experience
Required:
High school diploma or GED and a minimum of two (2) years of experience working with individuals \with behavioral health needs, OR minimum of four (4) years lived experience in navigating any of the Mental Health, Public Health, Social Service, and/or Justice systems. Other relevant experience may be considered including areas of recovery focus.
OR
Associate’s in human services and a minimum of two (2) years of experience working with individuals/with behavioral health needs.
NC Community Health Worker Certification is required within 12 months of hire.
Preferred:
Completion of training and/or documented knowledge of WRAP; Person-Centered Thinking; WHAM (Whole Health Action Management), Trauma Informed Care; MH First Aid; IPS-SE; Community Inclusion/Integration; Harm Reduction; Recovery Model preferred.
Special Requirements
Valid NC Driver license
NC Community Health Worker Certification within 12 months of hire
Salary Range
$25 - $32.50/Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long and Short-Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
