About Care at Home

Care at Home is a provider-led, community-based comprehensive health and care partner.

Care at Home’s purpose is to every day improve the health and well-being of those who need us the most – with a deep commitment to Black and Brown populations – in their homes and communities. It requires the collaborative and cohesive effort of numerous individuals across all levels of the organization to deliver on this purpose. One community at a time, we are determined to help create a world where health and care isn’t a burden. Because we believe providing care is a privilege – one we are grateful to earn. That’s why Care at Home has built a different way to care.

Care at Home was born different. We were created to be on call to answer the call every day. We are driven to deliver health, care and well-being to those who need us the most and to relentlessly support our team members on the front lines. That’s our calling and if it’s yours we hope you’ll join us.

Overview

Reporting to the Community Care Manager, the Community Health Worker is a member of the CINQCARE interdisciplinary care team, providing in-home support to CINQCARE family members and their families as they navigate the often-complex health care systems. This role serves as a vital link between members, their communities and care providers. Through addressing individual members’ unique barriers to care and social determinants of health, the Community Health Worker ensures improved health outcomes and overall quality of care in coordination. They are a member advocate, ensuring that their voices are heard, and their needs are met within the healthcare system. This position is a community-based position that will require you to be in the community and meeting with members face to face in their homes, at doctor appts, libraries, or other locations within the community agreed upon by the participant and the CHW.

They should embody Care at Home’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. At Care at Home, we don’t have patients or customers – we have Family Members.

Primary Responsibilities

· Establish rapport with patients and their families to facilitate open communication and understanding of their health needs during transitions, providing patients with essential information about their health conditions, and self-management strategies, as directed by clinical team.

· Conduct in-home monthly or bimonthly visits with members based on risk stratification.

· Conduct telehealth video visits with appropriate clinical or social resources to address the member’s real time clinical, behavioral or social needs. Ability to utilize appropriate monitoring equipment for telehealth video visits.

· Collaborating with healthcare providers, social workers, and community organizations to ensure that patients receive comprehensive care. This includes scheduling follow-up appointments, arranging transportation, and coordinating home health services.

· Assisting members in navigating insurance and healthcare policies, accessing community resources, such as financial assistance programs, housing support, and healthcare services, to help them manage their health effectively.

· Being sensitive to the diverse cultural backgrounds of patients, ensuring that care is respectful and tailored to individual needs.

· Utilize evidence-based assessments and approaches to help members identify and prioritize their health, address social challenges and utilize community-based resources.

· Establish and maintain working relationships with primary care providers, interdisciplinary teams, and community-based programs to ensure coordinated care for members

· Engage in care coordination efforts to assist members in identifying barriers to health and well-being and collaborate to address those challenges effectively.

· Accurately document all visits, and member interactions in the electronic medical record (EMR) and team tracking systems.

· Maintain detailed records to ensure continuity of care and assist in monitoring the progress of members

· Perform other job-related duties as assigned.

Qualifications

· Education: Associate degree or a combination of education and experience required; B.S or B.A. preferred

· Experience: 2+ years in the healthcare arena or exposure to health care systems required. Experience as a Community Health Worker or equivalent supporting vulnerable populations required.

· License/Certification: CPR certification is required. CHW certification is a plus.

· Communication: Excellent verbal, written communication, and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE’s team and members with the ability to build trust and rapport, in-person and over the phone, with individuals from diverse backgrounds.

· Entrepreneurial: CINQCARE seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for proactive and creative problem solving to ensure CINQCARE is positioned to innovatively deliver on its promise.

· Relationships: Ability to build and effectively manage relationships internally and externally.

· Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial company.

· Unrestricted driver’s license in home state required

· Ability to work collaboratively with healthcare teams and community organizations to address the complex needs of participants.

· Experience working with electronic medical records (EMR) and care management system

· Strong knowledge of HIPAA regulations and ability to handle sensitive and confidential information with discretion.

The working environment and physical requirements of the job include:

In-office work (minimum three days per week) is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.

In this position you will need an to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.