Community Health Worker - DSNP (Honolulu)

Hybrid work environment – must reside on Oahu. Exempt, full-time position.

Pay

$47,500 – $88,000. Individuals typically begin between the minimum to middle of the pay range.

About the role

The Community Health Worker (CHW) serves a critical role in advancing health and wellness within the community by fostering trust, advocacy for individuals and families, and facilitating timely access to appropriate care. The role performs outreach, offers educational resources, coordinates care, supports closing care gaps, and connects members with relevant community services to address social determinants of health (SDOH). Collaborates with healthcare and community professionals to optimize health outcomes, member satisfaction, and overall community well-being. Participates as a member of the interdisciplinary care team (ICT).

• Advances health and wellness within the Dual Eligible Special Needs Plan (DSNP) community.
• Builds relationships with QUEST members who are aging into Medicare through the organization’s onboarding program.
• Completes health assessments (HA), develops care plans (CP), and conducts ICTs.
• Plays a pivotal role during the pre-enrollment phase through the onboarding program and white-glove treatment process.
• Fosters long-term engagement in the DSNP plan.

Responsibilities

• Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness.
• Advocate and support members and their families by prioritizing their needs and preferences, ensuring they receive appropriate care and services promptly.
• Coordinate and collaborate with licensed clinicians and/or Health Management programs, as needed. Adjust workflows when necessary to provide optimal care for each situation or individual.
• Use effective communication techniques, including motivational interviewing, to encourage members to attend regular provider appointments, close open care gaps, and utilize medical services that support their health.
• Engage with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination for members overall.
• Deliver comprehensive education, resources, referrals, and connections to health-related services within the community. Facilitate the introduction of new or underutilized programs and services to community members.
• Provide guidance to community members facing complex health cases in navigating healthcare systems. Responsibilities may include conducting home visits, accompanying individuals to appointments, and supporting community events as needed. Exercise sound professional judgment and adhere strictly to scope and licensure boundaries to ensure actions are taken in the best interest of the community member(s).
• Provide culturally appropriate health education and instructions on using existing health and social services, presenting information clearly and effectively.
• Perform all other miscellaneous responsibilities and duties as assigned or directed.

Requirements

• Associate’s degree and three years of relevant healthcare/social services experience; or equivalent education/work experience.
• Fieldwork experience such as home visits, conducting health screenings in the community, and/or navigating social services (like food, housing).
• Excellent communication skills, both written and verbal.
• Basic working knowledge of Microsoft Office applications, including but not limited to Word, Excel, and Outlook.
• Must have reliable transportation for in-person meetings with members at home or other locations.