HAP CareSource is a joint venture between Health Alliance Plan (HAP) a Michigan-based health plan that provides health coverage to individuals and companies of all sizes, and CareSource a nationally recognized managed care organization with more than 2 million members. HAP CareSource extends and enhances the mission-based legacies of two trusted, midwestern nonprofit organizations - offering comprehensive health coverage, access to physicians and quality care with compassion. The joint venture enables HAP CareSource to provide more Michiganders access to award-winning products, services and an expanded provider network and to expand services to Medicaid-eligible individuals in the Lower Peninsula.
Job Summary:
The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members.
Essential Functions:
Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to; hospital, provider office, community agency, member's home, telephonic or electronic communication
Accompany members to appointments and other social service encounters when necessary
Coordinate logistics to support members' care plan goals and interventions - reminders, transportation, and childcare arrangements
Verify eligibility, previous enrollment history, demographics and current health status of each member
Contribute to assessments by gathering information from the member, family, providers and other stakeholders
Contribute to the development and implementation of the individualized care plan based on member's needs and preferences, reporting information to the Case Manager
Assist with identifying and managing barriers to achievement of care plan goals
Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination
Assist with the provision of health education and wellness materials as directed by the Case Manager(s) or Team Lead
Evaluate member satisfaction through open communication and monitoring of concerns or issues
Maintain appropriate documentation within protocols and guidelines of the Care Management program
Looks for ways to improve the process to make the members' experience with CareSource easier and shares with leadership to make it a standard, repeatable process
Regular travel to conduct member, provider and community based visits as needed to ensure effective administration of the program
Perform any other job duties as requested
Education and Experience:
High School Diploma or General Education Diploma (GED), is required
Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred
Competencies, Knowledge and Skills:
Proficient with Microsoft Office, including Outlook, Word and Excel
Sensitivity to and experience working within different cultures
Good interpersonal skills
Ability to work independently and within a team environment
Ability to identify problems and opportunities and communicate to management
Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Demonstrate compassion, support and collaboration with members and families
Self-motivated and inquisitive
Comfort with asking pertinent questions
Ability to work in a fast-paced environment
Ability to demonstrate and promote ethical conduct
Ability to develop positive relationships with all stakeholders
Awareness of community & state support resources
Organized , detail-oriented and conflict resolution skills
Ability to keep composure and professionalism during times of high emotional stress
Ability to maintain confidentiality and act in the company's best interest
Proven track record of demonstrating empathy and compassion for individuals
Proven track record for improving processes to make things easier for those you have served
Licensure and Certification:
Community Health Worker Certification, or equivalent approved training program, is preferred
Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
This is a mobile position, meaning that regular... For full info follow application link.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
