Community Health Worker

About the role

Under indirect supervision, works closely with medical providers, primary care teams, and social services agencies to provide short term care coordination and connection to resources and support to program clients to improve their health and general well-being through education and provision of coordination of care and services—works in both clinical and community-based settings, including client's homes.

About the company

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Responsibilities

• Communicates to clients/patients the purposes of the program and the impact it may have on their well-being.
• Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
• Documents all client encounters and contracts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic client files.
• Educates clients on the proper use of the Emergency Room and provides information about alternatives.
• Coaches patients in effective management of their chronic health conditions and self-care.
• Assists clients in assessing health-related services, including but not limited to obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and/or social services.
• Provides support and advocacy during an initial medical visit or when necessary to assure clients’ medical needs and referrals required are being conveyed.
• Facilitates client access to community resources, including locating housing, food, clothing, parenting, and providers for each life skills, and relevant mental health services.
• Assists clients in utilizing community services, including scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible.