It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

The Community Health Worker (CHW) performs telephonic and in-person outreach to assist identified populations and provides coordination of community resources. Identifies, facilitates, coordinates and advocates for residents /member access to services that enhance healthcare access and delivery by assisting in the coordination of safety net services that provide for basic needs such as education, housing, healthcare, legal, transportation and counseling assistance.

Our Investment in You:

• Full-time remote work
• Competitive salaries
• Excellent benefits

Key Functions/Responsibilities:

• Assesses member needs by conducting interviews and structured assessments using Motivational Interviewing techniques to engage residents/members and determine non-clinical and social needs.
• Collects data to assist members in better health management.
• Educates residents/members by providing information on how to obtain resources, basic health information. Provides education classes in person and via zoom that support healthy lifestyles.
• Assists members in the completion of applications for community resources such as food stamps, housing, utilities, vocational opportunities, etc.
• Maintains current knowledge of community resources for referral and linkage to meet residents/members’ needs
• Champions, coaches, and trains residents/members in collaboration with other Wellsense clinical staff
• Facilitates residents/member communication with external partners such as state agencies, community based organizations, clinical vendors, and primary care and specialty practices.
• Schedules primary care provider appointments for residents/members, where able; and assists members in scheduling appointments.
• Individualizes communication style with members to accommodate language and cultural barriers
• Adheres to departmental/organizational policies and procedures and maintains HIPPA standards and confidentiality of protected health information.
• Educates residents/members on the importance of completing preventative care services assists members in accessing appointments for these services.
• Other duties as assigned

Supervision Exercised:

· n/a

Supervision Received:

• Weekly and on-going from Manager of Care Management

Qualifications:

Education Required:

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• Associate’s degree in Healthcare related field or equivalent combination of education and relevant work experience.
• Completion of Community Health Worker training program/certification program or equivalent work experience.

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Experience Required:

• At least 2 years of experience as a Community Health Worker or in a similar position in health care environment.

Preferred/Desirable:

• Knowledge and experience in preventative care guidelines.
• Experience with care coordination or case/care management.
• Prior customer service experience.
• Bilingual skills
• Intermediate Microsoft Office skills

Certification or Conditions of Employment:

• Pre-employment background check
• Certified Community Health Worker or equivalent preferred
• Ability to conduct face-to-face appointments with members

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Competencies, Skills, and Attributes:

• Motivational Interviewing skills
• Strong oral and written communication skills
• Ability to effectively collaborate with health care providers and all members of the interdisciplinary team
• Ability to work independently and collaboratively with others.
• Strong organizational and time management skills
• Ability to work in a fast paced environment and multi task
• Knowledge of medical terminology
• Knowledge of community resources

Working Conditions and Physical Effort:

• Regular and reliable attendance is an essential function of the position
• Work is generally performed in the field with some home/corporate office work.
• Position is eligible for telework
• Regular and reliable transportation is required
• No or very limited physical effort required.
• No or very limited exposure to physical risk
• Regular and reliable transportation is required.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

Required Skills

Required Experience