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Aetna Community Health Worker in Roanoke, Virginia

Req ID: 67640BR

Job Description

Community Health Care Workers (CHW) serve the community as a bridge between the member (community) and the healthcare system (providers) through outreach and education. By providing these services, CHW s help Aetna members attain and maintain better health outcomes, improve relationships with healthcare providers and help both parties to become more acculturated with each other. This position will work under the direction of a designated professional.

Fundamental Components included but are not limited to:

Fundamental Components of the Community Health Worker include, but are not limited to:

  • Conduct home visits with Aetna members with chronic conditions to reinforce following the care plan, adjusting tasks to fit with the members culture, language, and religion, improve access to care, identify health care needs, and reduce unnecessary hospitalizations.

  • Educate healthcare professionals and providers on opportunities for improving and understanding the social determinants of health that may be impacting members health and treatment plan through various communication channels.

  • Build and maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, supervisors and office staff, from diverse cultural and socio-economic backgrounds. Work to reduce cultural and socio-economic barriers between clients and institutions.

  • Assist with care plan implementation and Aetna member education during in-home visits, help develop care management strategies, and work with team members to provide linkages for the various health and social needs of members.

  • Assist members to identify socio-economic issues that affect their overall health and develop health/social management plans and goals.

  • Identify gaps and opportunities to strengthen systems of care within the members community and assists members in utilizing community services, including scheduling appointments with social services agencies, (including transportation vendors), and assisting with completion of applications for eligible programs.

  • Assist with patient medication adherence by: instructing the member on current medication list, reviewing medications with member and assist in obtaining refills.

  • Teach disease self-management (i.e. nutrition, symptom tracking and reporting).

  • Accompany members to appointments as needed.

  • Enter and maintain member records in electronic health record system, compile reports and complete other program documentation in a timely manner (e.g. progress notes, letters), and other administrative responsibilities as needed.

  • Travel as required and use of personal vehicle to client homes, community locations, various agencies, and other outreach destinations.

Qualifications Requirements and Preferences:

  • 3-5 years experience providing clinical services; experience in community/outpatient setting preferred.

  • Community Health Worker Certification or equivalent training and experience preferred.

  • Experience serving Medicaid populations in urban or rural environments; familiarity of local formal and informal resource networks preferred.

  • Bilingual skills desired.

Functional Skills:

Clinical / Medical - Disease management, Clinical / Medical - Quality management, Finance - Expense management

Technology Experience:

Desktop Tool - Microsoft Explorer, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Required Skills:

General Business - Maximizing Work Practices, Leadership - Anticipating and Innovating, Leadership - Collaborating for Results

Additional Job Information:

Additional background/experience desired: Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, Motivational Interviewing, and specialized training in medical terminology and practices for

Benefit Eligibility

Benefit eligibility may vary by position.

Job Function: Healthcare

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.