Community Health Worker

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary

Community Health Workers (CHW) serve the local community as a bridge between the member, family, and the healthcare/social services system through member contact, face-to-face coaching sessions, outreach and education. By providing these services, CHW's help Aetna Better Health of Oklahoma members attain and maintain better health outcomes, have access to and fully utilize needed social supports, improve relationships with health care practitioners/providers, and support all parties as they learn about each other's culture. The CHW's role is meant to assist with access to services and to improve the quality and cultural competence of service delivery.Position Responsibilities:

• Engages members who are experiencing, or are at risk of health disparities, to improve their engagement, access to care, and their overall health and wellness.

• Conducts home visits with members to reinforce following their care plan, adjusting tasks to fit with the member's culture, language, and religion, improve access to care, and identify health care and social needs.
• Obtains and educates members about available SoonerSelect Program benefits and services.
• Educates healthcare professionals and providers about protective health factors and the social determinants of health that may be impacting member's health and treatment plan through various communication channels.
• Advocates on behalf of the member and their preferences with respect to receiving member and family-centered care.
• Builds and maintains positive working relationships with the members, their circle of support, providers, care managers, and other health plan support staff.
• When applicable, serves as a member of the Interdisciplinary Care Team (ICT) and participates in multidisciplinary case rounds supporting the member to bridge information between the member and the care team regarding any identified cultural and/or psychosocial elements.
• Works to reduce cultural and socio-economic barriers between members and institutions.
• Assists with care plan implementation and member education during in-home visits, helps develop care management strategies, and works with team members to provide linkages that address the various health and social needs of members.
• Assists members to identify socio-economic issues that affect their overall health and develops health/social management plans and goals.
• Identifies gaps and opportunities to strengthen systems of care within the member's community and assists members in utilizing community services, including scheduling appointments with social services agencies, (including transportation vendors) and assisting with completion of applications for eligible programs.
• Assists members to access community-based resources to address non-medical needs and supports the member's Care Plan objectives and independence.
• Supports medication adherence by assisting in obtaining refills.
• Accompanies members to appointments as needed or requested.
• Provides support to member with filing grievances and appeals.
• Outreaches, engages, and supports members for re-enrollment and primary care provider (PCP) or provider assignment.
• Enters and maintains member records in electronic health record system, compiles reports and completes other program documentation in a timely manner.
• Travels extensively to client homes, community locations, various agencies, and other outreach destinations. Ability to effectively provide support care to socially and medically complex patients in a variety of non-traditional settings.
• Exceptional organizational and interpersonal skills, with attention to detail required.
• Ability to work collaboratively in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment.
• Ability to influence medical care providers as needed to adjust interventions based on member's cultural, ethnic, or religious preferences.
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Knowledge of regional formal and informal community agencies and resources.
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Ability to communicate medical information to health care professionals and care coordinators over the telephone.
• Requires flexibility to work in situations in which the working conditions are unknown, as environments and situation of patient homes may vary.

• 3-5 years' relevant experience working in a community-based position or in a mental health capacity
• Meet all requirements set forth by the state (i.e. first aid, CPR, TB screen, etc.)
• Experience with Electronic Health Records
• 2+ years of demonstrated proficiency with personal computers, keyboard, multiple systems navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint)
• Experience providing care to American Indian/Indigenous American/Native American populations

• Community Health Worker Certification is preferred at time of hire
• If not certified, completion of a Community Health Worker CHW/Promotora approved certification program recognized by the State of Oklahoma is required, within 12 months of start date
• 1-2 years' experience providing community services; experience in community/outpatient setting preferred
• Experience in serving the Medicaid populations in urban or rural environments with familiarity of local formal and informal resource networks preferred
• Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, Motivational Interviewing, and specialized training in medical terminology and practices for designated health conditions

• High School Diploma or G.E.D