What are the responsibilities and job description for the Quality Community Health Worker position at Jefferson Health?
Job Details
The Community Health Navigator is part of the Quality Improvement and Performance (QIP) department that interacts with Jefferson Health Plans (JHP) members and/or families in person and via phone to identify, locate and ensure that they are receiving the social support, navigation support, and the proper linkage to various JHP programs and services.
The Community Health Navigator will be primarily responsible for locating unreachable, lost to care members to schedule PCP/Specialist. The role is also responsible for member engagement through various outreach programs aimed at improving the health of our members, quality outcomes and member satisfaction aligned with the organization’s HEDIS, Stars, and NCQA Accreditation goals.
Job Description
Essential Functions:
Education:
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Health Partners Plans, Inc.
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
The Community Health Navigator is part of the Quality Improvement and Performance (QIP) department that interacts with Jefferson Health Plans (JHP) members and/or families in person and via phone to identify, locate and ensure that they are receiving the social support, navigation support, and the proper linkage to various JHP programs and services.
The Community Health Navigator will be primarily responsible for locating unreachable, lost to care members to schedule PCP/Specialist. The role is also responsible for member engagement through various outreach programs aimed at improving the health of our members, quality outcomes and member satisfaction aligned with the organization’s HEDIS, Stars, and NCQA Accreditation goals.
Job Description
Essential Functions:
- Able to work in a constant state of alertness and safe manner.
- Locate members that are unable to be contacted using typical telephonic outreach. May include interactions with the member’s Primary Care Practitioner (PCP), pharmacy, hospitals and searching various JHP electronic systems/databases for contact information.
- Conduct face-to-face visits to JHP’s members as needed for engagement, retention and follow-up. This may include members’ homes, neighborhood shops, shelters and other establishments that members frequent.
- Utilize motivational interviewing with appropriate members to engage in care coordination activities as well as scheduling doctor’s appointments and addressing gaps in care.
- Collaborate with internal departments to facilitate resolutions to member issues and concerns.
- Identify, coordinate and assist members in gaining access to needed supportive services and Medical Assistance services, as well as non-funded medical, social, housing, educational, and other services and supports.
- Provide education to individuals and families about JHP’s programs.
- Utilize tools & technology to conduct specific assessments & screenings that identify social barriers to health; coordinate appropriate referral(s) based on an assessment.
- Ensure proper member information is gathered at the time of encounter; track all relevant data collected during face-to-face visits in the appropriate JHP systems.
- Remain up-to-date on knowledge of community resources appropriate to the needs of members/families.
- Other job duties as required, including hybrid telephonic outreach schedules due to inclement weather, unforeseen pandemics, downtime field work, or at the request of the Supervisor.
Education:
- High school diploma/GED required (Associates degree in Business Administration preferred)
- Preferred knowledge about the Philadelphia community, specific health issues and health and social service systems
- Required 2-5 years of health care experience, human service experience or equivalent
- Bilingual (English and Spanish speaking) is preferred
- Previous experience as an outreach worker or resource connector is preferred
- Cultural competency and the ability to provide informed advocacy required
- Excellent communication required
- Ability to work independently and as part of a team required
- Exceptional customer service skills required
- Ability to work in a fast-paced environment required
- Computer literate & MS office suite experience required
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Health Partners Plans, Inc.
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
