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Field Based Community Health Worker
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Full-time
- The Community Health Worker will be the primary care navigator for members with complex behavioral health needs.
- The CHW works assertively to locate and engage members in the community to develop individualized plans of care that focus on the member's definition of success and identify and address social determinants of health (SDOH) or other barriers impacting members ability to achieve their stated goals.
- This position will collaborate with an interdisciplinary care team (ICT) to provide comprehensive care navigation, improve clinical and quality outcomes, and reduce total cost of care.
- Assess SDOH needs using a standardized screening tool and coordinate with ICT to identify and connect members to available community resources
- Engage with members post-discharge from inpatient setting to facilitate connections with community-based services and Peer Support Specialist as needed
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