Community Health Worker

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POSITION: Community Health Worker – Enhanced Care Management
DEPARTMENT: Medical Unit
STATUS: Full-Time, Non-Exempt

POSITION SUMMARY: Under the direct supervision of the Enhanced Care Management Director, the
Enhanced Care Management Member Navigator is a person with direct knowledge of the local
community who functions as a “guide” and offers assistance to community members in “navigating”
the health care and accessing related social and financial services to improve health outcomes. The
Member Navigator performs a variety of health promotion, clerical and medical support services
within the clinic setting and in the community.

A primary function of the Member Navigator is to
outreach and enroll eligible members into T.H.E.’s Enhanced Care Management Program (ECM) and
maintain communication between members, their families, physicians, and the health care and social
system(s) to help facilitate the care of individuals.
Essential Duties and Responsibilities:
• Conducts outreach and enrollment activities as directed to engage members identified as

being ECM eligible. Works with care team staff to identify potential members to outreach and
enroll into the ECM.

• Performs, as needed, member scheduling, program eligibility screening, broken appointment
follow-up, etc.

• Utilizes language and cultural awareness skills to outreach to members and community and
present T.H.E.’s ECM Program in an acceptable manner.

• Works in collaboration with the Lead Care Manager to gather information from ECM enrolled
members to complete comprehensive assessments, support care management planning, and
implement health promotion strategies.

• Able to balance priorities and maintain outreach and enrollment goals.
• Offers services where ECM enrolled members live, seek care, or find most easily accessible

and within health plan guidelines.
• Connects with ECM eligible or enrolled members via phone or in-person to facilitate

engagement, assessment, follow-up, and education/training visits to support the Care Plans.
• Connects ECM enrolled members to other Community Supports / social services and supports

they may need.
• Accompanies ECM enrolled members to office visits, as needed and according to health plan

guidelines.
• Arranges transportation.
• Responsible to participate in care conference meetings.

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• Coordinates with ECM resource partners to obtain data/information to ensure accurate Care
Plan updates.

• Utilizes eCW and other electronic tracking systems to coordinate services and input data for
reporting.

• Attends required ECM trainings.
• Assists with the required ECM reports, data entry, and other internal reports.
• Responsible for coordinating with individuals and/or entities to ensure a seamless experience

for members and non-duplication of services.
• Advocate on behalf of the member with health care professionals.
• Use motivational interviewing, self-management support, trauma- informed care, and harm-

reduction approaches.
• Meets with members at the hospital to support discharge planning and transitions of care.
• Coordinates with the Lead Care Manager to monitor treatment adherence and facilitate

communication among members, their family supports, and care team as needed (e.g.,
hospital discharge plans, medication, etc.).

• Other duties as assigned.

Education and Qualifications:
• High school diploma or GED.
• Previous experience in a health care setting is preferred.
• Bilingual in English/Spanish (oral and written)

Knowledge.

Skills and Abilities:
• Knowledge about the communities and populations they are engaging.
• Strong documentation skills.
• Ability to speak the language of the member population served and/or effectively utilize

interpretation/translation resources to ensure linguistically appropriate care is delivered.
• Ability to multi-task and prioritize when needed.
• Ability to independently seek out resources and work collaboratively.
• Ability to develop and maintain good working relationships with staff.
• Ability to use computer and learn new software programs.
• Excellent interpersonal skills reflecting clarity, diplomacy, and the ability to communicate

accurately and effectively with members and all levels of staff and management.
• Demonstrates ability to work in a regulatory climate that includes oversight of state and

federal entities, payer contracts etc.
• Possesses ability to communicate effectively, both verbally and in writing.

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• Proficient knowledge of Microsoft Outlook, MS Word, and Excel.
• Able to travel and attend professional meetings, conferences, trainings, and clinic sites.
• Performs other related duties as assigned.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to stand, sit, talk, or hear.
The employee is occasionally required to use hands to handle, or feel objects, keyboard, or controls;
and reach with hands and arms.

The employee must occasionally lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision,
peripheral vision, depth perception, and the ability to adjust focus.

Job Description Disclaimer

This position requires compliance with Health Center’s written standards, including its Standards of
Conduct and policies and procedures (“Written Standards”). Such compliance will be an element
considered as part of the Community Health Worker’s regular performance evaluation.

Failure to comply with Health Center’s Written Standards, which may include the failure to report any
conduct or event that potentially violates legal or compliance requirements or Health Center’s
Written Standards, will be met by the enforcement of disciplinary action, up to and including possible
termination, in accordance with Health Center’s Compliance Program Policy and Procedure.

I have reviewed and understand the job functions required of me for the position in employment
with T.H.E.

Clinic, Inc. I understand that T.H.E.

Clinic, Inc. reserves the right to modify job duties or job
descriptions at any time.

Employee’s Signature Print Name Date

Supervisor’s Signature Print Name Date

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