Community Health Worker Iii (Hybrid, North Carolina Based)

Alliance Health is seeking a Community Health Worker III to serve members in Orange and Durham counties.

The CHW III uses engagement strategies and strong community connections to assist members with resolving their unmet health needs. In addition, the CHW III provides education and support to help members fully understand their benefits. This individual will act as a consultant within the Care Team to address unmet health needs identified from the Social Determinants of Health (SDOH) Assessment, coordinate activities and communication between member payers, address Medicaid enrollment issues, and support SOAR activities.

This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work up to 4 days of the week as approved by their supervisor. This position will require travel within the communities Alliance serves as needed.

Responsibilities & Duties

Complete Assessments

• Complete SDOH assessments should additional needs emerge when completing plan of care (POC) activities
• Administer the Community Inclusion Planning Survey to determine additional community support needs prior to closing a POC

Engage and Educate Members

• Meet members where they are; emotionally, socially, intellectually, and physically (if needed)
• Provide face to face and field/community-based support to each member as needed

Connect Members to Services and Supports

• Support member with completion of applications for housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resources
• Initiate and facilitate community inclusion planning with Community Health and Well-Being Department
• Submit referrals in NCCARE360 database to connect members to community service provider
• Identify, problem solve, and work to overcome support needs for members regarding social determinants of health
• Support member to become an engaged and active member in their community (eg. community organizational membership, relationships with neighbors, building of non-paid social network)

Collaborate with the Alliance Care Team, Community Health and Well-Being, and Alliance Departments

• Develop in depth knowledge of various community systems and provide consultation and technical assistance to MCO clinical departments regarding available resources
• Work with Community Health and Well-Being to maximize member experience and to build social capital in member’s community of choice
• Notify Care Manager of any new service needs identified during service monitoring
• Attend meetings related to care planning and resolving SDOH needs

Engage Providers and with External Stakeholders

• Participate in outreach efforts to raise community awareness of needs of the Tailored Plan population
• Build community capacity through network building and resource development
• Represent Alliance in System of Care activities to ensure an integrated System of Care approach for child and adult service systems
• Collaborate and consult with local stakeholders and community resources for the purpose of developing connections to increase community inclusion outcomes and to develop new resources
• Build partnerships with public and private mental health agencies, child serving agencies, DSS, DJJ, and community partners, to develop programs and resources to increase family involvement in care delivery

Provide Benefits Consultation to Members

• Notify DSS of benefit issues and develop action plan to resolve
• Assist members to enroll in benefit plans
• Communicate with Medicaid and Medicare benefit program Case Managers to resolve issues
• Ensure members know what benefits they are eligible to receive
• Assist with Medicaid C enrollment reconciliation and working with DSS to address IN indicator issues

Documentation

• Maintain medical record compliance/quality.
• Ensure timely documentation of Care Coordination activities as required by department policy and procedures

Compliance

• Comply with organizational and departmental Policies, Procedures, Processes, Workflows and Fidelity of Service Engagement Model

Knowledge, Skills, & Abilities

• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Knowledge of community specific financial planning resources
• Knowledge of regulations and statutes specific to 1915(b) and (c) waiver services including licensure type required for facility-based services, and staffing and supervision requirements (LTS and TBI Care Workers only)
• Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers.
• High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
• Conflict management and resolution skills
• Strong interpersonal and written/verbal communication skills
• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Must demonstrate flexibility and adaptability.
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Knowledge of and skilled in the use of Motivational Interviewing techniques
• Detail oriented,

Required Education & Experience

Master’s degree in a Human Services field and one (1) year of experience with the population served,

or

Bachelor’s degree in a Human Services field and two (2) years of experience with the population served,

or

Bachelor’s degree in a non-Human Services field and four (4) years of experience with the population served.

Special Requirements

Valid NC Driver license

NC Community Health Worker Certification within 12 months of hire

Salary Range

$22.15 to $38.14/Hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility
• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options

Education

• Bachelors or better in Human Services

Skills

• Conflict Resolution
• Communication
• Microsoft Office
• Interpersonal Skills