Job Type Full-timeDescriptionWho We AreEngaging Solutions is what we are, and what we do! Our mission is to provide tailored business solutions that improve the quality of life for everyone in the communities we serve. That commitment is accomplished through our core values: People, Impact, Community, Equity & Integrity. What makes us unique is we are small enough to be flexible, large enough to deliver excellence, and agile enough to adapt to any organization's needs.We offer competitive pay, excellent benefits, and a holistic approach to work life balance including work from home opportunities. It's no wonder Engaging Solutions has been selected as one of Indianapolis' Top Workplaces (Indy Star 2016, 2017, 2018, 2020, 2022, 2023 & 2024) and is ranked as a Fastest Growing Business by Fortune Magazine!Position Purpose:Engaging Solutions will administer care through the newly created Indiana PathWays for Aging program, which focuses on integrating care for long-term services and supports (LTSS). The Community Health Worker (CHW) is responsible for serving as the initial and main point of contact between the Company and the member. The CHW supports member access to care through the completion of face-to-face and telephonic visits to complete health screening and needs assessments, leading to referrals to community resources, processing of reports, and distribution of collateral materials.Competencies/Duties:
- Community Health Worker coordinates follow-up care plan needs for Members by scheduling appointments or enrolling members in programs
- Primarily supports member access to care, also provides support over the phone when needed
- Makes referrals to Case Management Services
- Assesses member compliance with medical treatment plans via telephone or through on-site visits
- Community Health Worker identifies barriers to plan compliance and coordinates resolutions while ensuring alignment with internal Company team
- Aids in accessing various community resources (education, housing, transportation, recovery supports, etc.)
- Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider
- Community Health Worker coordinates identification of and referral to local, state or federally funded programs
- Participates in cross-functional teams on projects, initiatives, and process improvement activities
- Maintains the confidentiality of all sensitive information. Accountable to understand role and how it affects utilization management benchmarks and quality outcomes
RequirementsPosition Requirements/Abilities:
- Ability to complete required member visits per week
- Strong interpersonal and communication skills
- Ability to communicate effectively with people from diverse socio-economic levels and backgrounds
- Superior organization skills
- Must be able to work independently and effectively with others
- High degree of computer literacy is preferred
- Ability to handle protected health information and personally identifiable information in accordance with HIPAA requirements.
Education, Work Experience, Licensure:
- One of the following certifications preferred (not required): Community Health Worker, Recovery Specialist, Peer Recovery Support Specialist, Licensed Clinical Social Worker
- Ability to obtain a valid Indiana driver's license, proof of valid insurance, and access to reliable transportation
- High School Diploma or equivalent GED
- One-three years of experience in health and human services, Public Health, Medicaid, Medicare, Managed Long Term Supportive Services, or behavioral health field working in a diverse community based setting
- Bilingual candidates preferred
- Working knowledge of community-based populations, medical conditions and/or disabilities
Environment/Physical Demands:
- Ability to continuously stand or walk. Ability to bend, climb stairs with the potential for frequent lifting
- Ability to lift up to 25 pounds, occasionally
- The remote position requires the individual to work from home or established work site. Must have dedicated space within home to operate fully.
- This position requires frequent driving which requires the ability to sit for long periods of time. Must provide proof of a valid Driver's License and valid insurance coverage.
- This position requires the employee to conduct home visits in members' homes which requires the individuals to obtain and exchange information and assist the member with resolving simple to complex issues related to their accessing their health care benefits. The work requires frequent communication which requires ability to express self and receive information.