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The Transitional Care Services (TCS) Community Health Worker II (CHW) is responsible for promoting members’ optimal health and well-being through active engagement and helping them navigate and access health services when transitioning between care settings. The TCS CHW supports members and providers through an integrated approach inclusive of community outreach. Through assessment, collaboration, education and support, the TCS CHW helps identify and resolve members’ barriers to safe care transitions from facilities by ensuring coordination with the facility discharge staff and connecting members to their providers as well as appropriate programs and services to support their daily functioning.
Job Responsibility:
Cultural Mediation Among Individuals, Communities, and Health and Social Service Systems: Educating individuals and communities about how to use health and social service systems
Providing Culturally Appropriate Health Education and Information: Conducting health promotion and disease prevention education
Care Coordination, Case Management, and System Navigation: Participating in telephonic and/or in-person care coordination and case management with members, facility staff, and providers
Providing Coaching and Social Support: Providing individual support and coaching
Advocating for Individuals and Communities: Advocating for the needs and perspectives of communities
Building Individual and Community Capacity: Building individual and community capacity by training with peers and among CHW groups
Implementing Individual Assessments: Participating in design, implementation, and interpretation of individual-level assessments
Conducting Outreach: Telephonic and/or in-person recruitment of individuals and families to participate in Transitional Care Services and other supports
Requirements:
High School Diploma/or High School Equivalency Certificate
At least 6 months of experience as a health navigator, peer support worker, outreach worker, promotora, or working in a community setting and providing health education for chronic conditions, or equivalent
Knowledge of community resources for Medi-Cal members
Comfortable working with diverse populations
Exceptional ability to connect and engage with people
Willingness to work in various environments including 1:1 in member’s homes, hospitals, skilled nursing facilities, other clinical settings, and/ or shelters
Excellent verbal and written communication skills
Detail oriented, organized and possess time management skills
Basic computer skills
Must have access to reliable transportation to carry out job-related essential functions
Able to work flexible job hours
Travel to offsite locations for work
Nice to have:
Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese
Mental Health First Aide Certification
Successful completion of a Community Health Worker formal training program from a college or other education institution is preferred
Training in health education for chronic diseases, motivational interviewing is desirable