Job Description
The CHW will work in the community in a variety of settings, including patient homes, medical offices, inpatient facilities (such as hospitals and EDs), community-based organizations, public facilities, homeless shelters, and more. The CHW will: advocate for patients; empower patients to become effective advocates for their own needs and the needs of their families; identify and support patients overcoming obstacles related to treatment plans and other medical, social, and/or behavioral health services; help patients secure necessary and appropriate medical, social, and/or behavioral health services. The Prospect Community Health Worker (CHW) will assist patients with complex medical, social, and/or behavioral health needs access community-based resources, and fully utilize personal/community support systems, to improve life circumstances leading to better health outcomes. The CHW is responsible, along with other members of the Medical Management Team, for contributing to the clinical, quality, financial, and patient satisfaction outcomes.
Responsibilities
- Acts as a peer support for enrolled patients, building relationships with individuals and their families and advocating for patients as they navigate the medical system.
- Assist members in identifying their goals (health, behavioral, social, etc.) and provide assistance and support in achieving those goals.
- Attends and contributes to Team Conferences regarding care to/for specific patients.
- Coordinates with care management and other members of interdisciplinary team to report on patient progress and confer if interventions require modification.
- Engages with patients and families across care settings such as the transition from hospital to home.
- Assists the patient in addressing the following: Health-Related Social Needs/ Social Determinants of Health. HRSN/SDOH Include: housing insecurity/homelessness, substandard housing conditions, food/nutrition, transportation, utilities, exposure to violence, social isolation, language/ communication barriers, cultural isolation, parenting/educational skills, elder care, parent-child conflict, family relations issues, recreational activities, and more.
- Health, Behavioral Health, Substance Use: Including: assisting with medical appointments (scheduling, confirmation, reminders, transportation, follow-up), effective engagement with primary care, medical assistance, insurance enhancements, prescriptions, medical equipment, dental care, chronic condition management including health education/prevention, barriers to treatment-plan-compliance including medication adherence, facilitating services to address BH/SUD needs of patient and/or family members across all levels of need (mild/moderate/severe) from treatment to recovery.
Qualifications
Minimum Education: High School Diploma or Equivalent.
Minimum Experience: Lived experience – this includes any combination of cultural background, lifestyle, health condition factors - similar to that of patients attributed to the Health Homes Program. Knowledge of and experience navigating medical, social, and/or behavioral health systems. Minimum of one (1) year of experience in community/outpatient settings preferred. Bilingual (Spanish/English, Portuguese/English) preferred.
Req. Certification/Licensure: None.
"Location-Based Pay Adjustment"
About Us
With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.
