Certified Community Health Worker

Duties and Responsibilities

Effectively represent AbsoluteCare, and communicate how ABC’s services, programs, and resources, including ABC’s PCP clinical care model—can help in the member’s specific situation.
Conduct in-person non-clinical assessments to understand member needs, preferences, and barriers to care, including social determinants of health (SDOH), and evaluate the home environment as needed.
Create and administer individualized care plans for members, incorporating clinical team input when addressing clinical needs.
Effectively and efficiently connect members with appropriate AbsoluteCare and community resources such as mental health, substance abuse, housing support, transportation, clothing, food, and other basic needs.
Authentically build trust and rapport with members, their support systems, and communities to drive engagement.
Manage a caseload of members, identifying and addressing member needs, enrolling members in appropriate services, and ensuring follow-through on care plans and connections to community and clinical resources.
Partner with care team (community PCPs, specialists, and internal staff), including attending daily huddles and team meetings, prioritizing members, caseload, and align around actions.
Document daily outreach activities into care management platforms (e.g., Jiva), electronic health records (e.g., eCW), and CRM systems.
Meet predefined metrics and KPIs for successful member engagement, social needs resolution, and member enrollment into programs and services
Support members within the Member Lounge with events.
Minimum Qualifications

High school diploma or equivalent required.
Must have a valid driver’s license, proof of insurance, and reliable personal vehicle.
2+ years of experience working with community agency providing services encompassing the basic competency areas of health care (community resources, communication skills, individual and family advocacy, health education, services skills, and responsibilities).
CPR/BLS certification required.
Certified as a Community Health Worker required prior to employment
Experience and passion for working with and engaging vulnerable, hard to engage, complex populations.
Independent and persistent self-starter
Proficient in PC skills, such as Microsoft Office.
Ability to travel locally at a minimum of 80% of the time.
Knowledge and trusting relationships within the local community, and experience and knowledge navigating community resources.