Job Search

We are currently seeking a Community Health Worker to serve members in Wake county.

This position will allow the successful candidate the ability to work remote certain days of the week. The employee will also be required to come into the office on certain days as approved by their supervisor. This position will require travel within the communities Alliance serves.

The Community Health Worker uses engagement strategies and strong community connections to assist members with resolving their unmet health needs. In addition, the Community Health Worker provides education and support to help members fully understand their benefits. This position functions as a consultant within the Care Team to address unmet health needs identified from the Social Determinants of Health (SDOH) Assessment, coordinate activities and communication between member payers, address Medicaid enrollment issues, and support SOAR activities.

Responsibilities & Duties

Assessment Review

• Review completed SDOH assessments and/or update activities to address SDOH needs that emerge when completing plan of care (POC) activities
• Assist members with engaging additional services/community resources such as the Community Inclusion Planning Meeting (CIPM) prior to closing a POC

Engage and Educate Members

• Meet members where they are; emotionally, socially, intellectually, and physically (if needed)
• Provide face to face and field/community-based support to each member as needed

Connect Members to Services and Supports

• Identify, problem solve, and work to overcome support needs for members regarding social determinants of health
• Submit referrals in NCCARE360 database to connect members to community service providers
• Support member with completion of applications for housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resources
• Support member to become an engaged and active member in their community (eg. community organizational membership, relationships with neighbors, building of non-paid social network)
• Review eligibility and linkage to all internal programs including but not limited to flex funds, independent living initiative (ILI), other housing programs, the CIPM, and facilitate community inclusion planning with Community Health and Well-Being Department

Collaborate with the Alliance Care Team, Community Health and Well-Being, and Alliance Departments

• Attend meetings related to care planning and resolving SDOH needs
• Notify Care Manager of any new service needs identified in the referral process
• Work with Community Health and Well-Being to maximize member experience and to build social capital in member’s community of choice
• Develop in depth knowledge of various community systems and provide consultation and technical assistance to MCO clinical departments regarding available resources

Engage Providers and with External Stakeholders

• Collaborate and consult with local stakeholders and community resources for the purpose of developing connections to increase community inclusion outcomes and to develop new resources
• Build community capacity through network building and resource development
• Build partnerships with public and private mental health agencies, child serving agencies, DSS, DJJ, and community partners, to develop programs and resources to increase family involvement in care delivery
• Participate in outreach efforts to raise community awareness of needs of the Tailored Plan population
• Represent Alliance in System of Care activities to ensure an integrated System of Care approach for child and adult service systems

Provide Benefits Consultation to Members

• Ensure members know what benefits they are eligible to receive
• Assist members to enroll in benefit plans
• Communicate with Medicaid and Medicare benefit program Case Managers to resolve issues
• Assist with Medicaid enrollment and work with DSS to address enrollment  issues
• Notify DSS of benefit issues and develop action plan to resolve

Documentation

• Maintain medical record compliance/quality
• Ensure timely documentation of Care Coordination activities as required by department policy and procedures

Compliance 

• Comply with organizational and departmental Policies, Procedures, Processes, Workflows and Fidelity of Service Engagement Model

Knowledge, Skills, & Abilities

• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Knowledge of community specific financial planning resources
• Knowledge of regulations and statutes specific to 1915(b) and (c) waiver services including licensure type required for facility-based services, and staffing and supervision requirements (LTS and TBI Care Managers only)
• Knowledge of and skilled in the use of Motivational Interviewing techniques
• Strong interpersonal and written/verbal communication skills 
• Conflict management and resolution skills
• High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
• Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers. 
• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Detail oriented, 
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Must demonstrate flexibility and adaptability.

Required Education & Experience

Master’s degree in a Human Services field and one (1) year of experience with the population served, 

or 

Bachelor’s degree in a Human Services field and two (2) years of experience with the population served, 

or 

Bachelor’s degree in a non-Human Services field and four (4) years of experience with the population served.

Special Requirements

Valid NC Driver license

NC Community Health Worker Certification within 12 months of hire

Salary Range

$23.43 to $39.06/Hourly 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. 

An excellent fringe benefit package accompanies the salary, which includes:   

• Medical, Dental, Vision, Life, Long and Short-Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility