Wellness Advocate Team Lead

Job Details

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

' Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

' Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

JOB SUMMARY
The Wellness Advocate Team Lead is responsible for day-to-day management and oversight of Wellness Advocate performance, providing administrative support, ensuring quality of service delivery, facilitating professional development in support of CHW certification requirements and guiding progress towards intervention goals.
This position is also responsible for ensuring the wellness advocate team completes assigned outreach that is tied to the wellness and prevention program. In addition to programming assistance (i.e., care and resource navigation), this individual will facilitate the execution of CHW strategy within the organization. This includes keeping CHWs up to date on changing requirements related to the eight core competencies of CHW work, enhancing community health initiatives, improving health outcomes, and bridging gaps between members and healthcare providers.
The lead will ensure that CHWs are effectively implementing program interventions, adhering to best practices, and meeting the varied healthcare needs of the populations they serve. They will aid in member support through the development of health promotion and education strategies which includes the importance of screenings, annual checkups, and self-management of chronic health conditions. They will also collaborate with other internal departments to identify and deliver positive change and business efficiencies, highlight operation risks and areas for improvement, and monitor productivity.

JOB SPECIFICATIONS AND CORE COMPETENCIES
The Wellness Advocate Team Lead provides day-to-day oversight and management of CHWs that work remotely with members over the phone. Responsible for a variety of outreach, education, and community coordination activities. Responsible for quality assurance, coaching, and developing team members in all areas of performance, including but not limited to, metrics and behaviors related to the CHWs.
Responsible for managing, planning, and organizing the daily and monthly functions of the team. Ensure team documentation of community work and issue weekly and monthly reports in a timely manner.
Facilitate training and work with other community health workers internally and externally to best practices and strengthen education and outreach.
Complete ad hoc analysis to support internal and external customers.
Other duties as assigned.

Reports to Position Title: Wellness Advocate Manager

QUALIFICATIONS:
Education/Specialized Training/Licensure: High School diploma or GED equivalent required.

Certification/training as a Community Health Worker preferred.

Work Experience (Years and Area): Two (2) to three (3) years' work experience with patient navigation, care management, or any kind of direct service provision to patients in a community health/outreach, social resource agencies required.

Management Experience (Years and Area): Two (2) years of experience as a lead, supervisor role or equivalent experience required.

Software Proficiencies: Must be computer literate Microsoft Word, Excel and Outlook.

Other: Strong analytical, organizational, prioritization and time management skills. Ability to work independently under minimal direction. Moderate to advanced computer knowledge required