Community Health Worker - (New Jersey)
🔍 New Jersey
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
General Summary:
This position reports to the AHNJ Manager of Population Health, with accountability to accomplish targeted outreach to plan members who have clinical care gaps, to assess and provide resources for social determinants of health (SDOH) challenges. Assessment & intervention examples include addressing gaps due to a lack coordination of services. This includes discussions to assess barriers, such as issues with health literacy, access to healthcare, need for available low-income resources, and solving for transportation limitations. These needs have been identified primarily within Camden, Burlington, and Gloucester counties. A Community Health worker serves as a connection between members and caregivers, with the health plan & healthcare providers, and with community resources to promote health equity and improve member outcomes.
Key Responsibilities:
- Conduct outreach to members identified with clinical gaps in care and perform SDOH assessments to determine applicable resource needs.
- Assist members, who do not have an identified primary care provider (PCP), with selection of a PCP, and helping the member to access PCP care. This includes securing an appointment and potentially accompanying the member to the appointment as needed.
- Focus on relationship with PCP office to secure necessary prescriptions and orders for further evaluation.
- Educate members and families on insurance benefits and programs and on community resources.
- Generate internal referrals to clinical team including nurse health coaches and social workers.
- Identify community services for members and build relationships with local organizations and health systems partners
- Coordinate referrals to external community social agencies or services such as prescription assistance programs.
- Supports patients in understanding and carrying out provider recommendations.
- Document all interactions and interventions offered.
- Track monthly number of member referrals, PCP visits, and clinical gap closures.
- Motivate members to be active and engaged participants in their health.
- Participate and attend member events and health expos to assist in member education.
- Perform other duties as assigned.
Qualifications:
· Education: high school diploma or equivalent
- Experience: Minimum one-two year relevant experience or volunteer work in community outreach, public health, health education, or social services.
- Preferential experience working with vulnerable populations, including seniors, with a focus on addressing social determinants of health
- Required: Driver’s license and car insurance
- Skills:
- Proficiency in Spanish, written and verbal
- Strong interpersonal, communication, and organizational skills
- Proficiency in documentation and use of care management systems
- Knowledge of community resources and social service systems
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.