TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.
Job Summary:
The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members.
Essential Functions:
- Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to; hospital, provider office, community agency, member’s home, telephonic or electronic communication
- Accompany members to appointments and other social service encounters when necessary
- Coordinate logistics to support members’ care plan goals and interventions – reminders, transportation, and childcare arrangements
- Verify eligibility, previous enrollment history, demographics and current health status of each member
- Contribute to assessments by gathering information from the member, family, providers and other stakeholders
- Contribute to the development and implementation of the individualized care plan based on member’s needs and preferences, reporting information to the Case Manager
- Assist with identifying and managing barriers to achievement of care plan goals
- Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination
- Assist with the provision of health education and wellness materials as directed by the Case Manager(s) or Team Lead
- Evaluate member satisfaction through open communication and monitoring of concerns or issues
- Maintain appropriate documentation within protocols and guidelines of the Care Management program
- Looks for ways to improve the process to make the members’ experience with CareSource easier and shares with leadership to make it a standard, repeatable process
- Regular travel to conduct member, provider and community based visits as needed to ensure effective administration of the program
- Perform any other job duties as requested
Education and Experience:
- High School Diploma or General Education Diploma (GED), is required
- Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred
Competencies, Knowledge and Skills:
- Proficient with Microsoft Office, including Outlook, Word and Excel
- Sensitivity to and experience working within different cultures
- Good interpersonal skills
- Ability to work independently and within a team environment
- Ability to identify problems and opportunities and communicate to management
- Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Demonstrate compassion, support and collaboration with members and families
- Self-motivated and inquisitive
- Comfort with asking pertinent questions
- Ability to work in a fast-paced environment
- Ability to demonstrate and promote ethical conduct
- Ability to develop positive relationships with all stakeholders
- Awareness of community & state support resources
- Organized , detail-oriented and conflict resolution skills
- Ability to keep composure and professionalism during times of high emotional stress
- Ability to maintain confidentiality and act in the company’s best interest
- Proven track record of demonstrating empathy and compassion for individuals
- Proven track record for improving processes to make things easier for those you have served
Licensure and Certification:
- Community Health Worker Certification, or equivalent approved training program, is preferred
- Must have valid driver’s license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
- This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
- Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
- May be required to travel greater than 50% of time to perform work duties.
- Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
- Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
Compensation Range:
$32,310.00 - $51,570.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.