Community Health Worker ACO Beverly

Location: Beverly, MA
Job ID: 156772-1A
Date Posted: Aug 15, 2019

Job Description

Welcome To

Lahey Hospital & Medical Center  is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

LMH-ACO is responsible for improving coordination of patient care, reducing unnecessary hospitalizations and readmissions, emergency department visits and revists, and reducing total cost of care over time. LMH-ACO will provide services in collaboration with contracted Managed Care Organizations (MCOs) as well as Community Partners (CPs) for Behavioral Health (BH) and Long Term Services and Supports (LTSS), as appropriate.

Working under the direction of a Licensed Social Worker, the LMH-ACO Community Health Worker (CHW) will work directly with members, families, and caregivers to perform outreach and engagement and to assist with care coordination, care management, and care transition functions and activities for assigned LMH-ACO members. The CHW will work with at-risk members and families in all settings including their homes, to assess the member?s health care needs, social service needs, and social obstacles to health. The CHW will connect members to appropriate, available providers and community resources, with goals of improving the member?s quality of life and increasing their access to health care - related programs and services at the appropriate time and in the most appropriate settings.

Minimum Qualifications

Education: High School Diploma or General Education Diploma (GED) required. Associate's degree or Bachelor's degree in psychology, social work or related human services field from an accredited college or university a plus

1 year experience in community-based social services or behavioral health support program required; 2-3 years' experience preferred. Candidate may be a licensed clinician who does not have the credentials to practice independently (e.g., LPN, LSW, or degree in a related health care field)

Skills, Knowledge & Abilities: 
- Must have basic knowledge of medical/health care delivery environment and medical terminology
- Working knowledge of health plans and benefits a plus
- Demonstrated ability to work collaboratively within a multi-disciplinary team
- Demonstrated strong communication skills (both written and verbal)
- Self-directed with demonstrated strong time management and organizational skills
- Must demonstrate appropriate boundaries regarding confidentiality and personal relationships
- Strong ability to evaluate what is needed by each individual and adjust approach accordingly, using a strength-based, member-centered approach to care planning
- Strong problem - solving ability and critical thinking skills
- Experience with local community resources and navigating
mental health and/or substance use disorder treatment systems preferred
- Ability to utilize computers, web-based applications, and MS Office application required

Other Job Requirements:

Schedule Requirements: Some flexible work hours to accomplish member outreach and engagement at times when members are reachable; this may involve some early evening hours or later work days.

Travel Requirements: Must have a current, valid driver's license and own transportation. Travel and an ability to meet with members served in a variety of outreach settings is required.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.