Community Health Worker

July 25

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Aledade, Inc.

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With Primary Care. For Primary Care.

Accountable Care Organizations (ACOs) • Health Information Technology • Data Analytics • Physician Collaborations

501 - 1000

Description

• Increase access to health services by identifying populations in need using various outreach methods • Performs assessment based upon the initial reason provided for patient outreach (e.g., no care with primary care provider during the current year, health risk assessment completion, inappropriate emergency department use, recent hospitalization, a gap in routine care, and social need, etc.) and provides or connects to resources relevant to the identified needs. • Coaches and motivates patients to engage in primary care to effectively manage their chronic disease, engage in preventive care as appropriate, and avoid inappropriate care settings (e.g., emergency department use for non-emergent concerns). • Actively collaborates with other members of primary care teams to communicate patient needs, special patient arrangements, and areas of further support. • Perform Social Determinants of Health (SDOH) screenings and address issues identified to eliminate barriers to care as appropriate. • Provide outreach and engagement services remotely, on-site at Health Centers, or through other community-based settings, including emergency departments or other access points.

Requirements

• Minimum of one year experience (two years preferred) in direct patient/client service exercising one or more Community Health Worker (CHW) core roles (providing culturally appropriate health education, care coordination, coaching, and social support, individual and community assessment, conducting outreach, etc.) • Completion of Louisiana’s Community Health Worker Training Program (CHWTP) and certification process or a substantially similar training/certification program, preferred. (May be completed after hire)