Community Health Worker II

The Community Health Worker II supports members by providing information about and assistance with accessing services and community resources to improve the individual’s health outcomes. The Community Health Worker also supports local care management efforts through a combination of activities with various public and private agencies, development of processes and agreements to address critical community needs of individuals enrolled with the MCO, and foster relationships and partnerships to aid in the identification and referral to Alliance of individuals that meet special needs or high-risk criteria.

This position will allow the successful candidate to work a schedule which will include both onsite as well as remote work certain days of the week as approved by their supervisor.

Responsibilities & Duties

Complete Assessments

• Assess an individual’s interest in supported housing and housing preferences
• Complete Social Determinants of Health (SDOH) assessments related to housing insecurity
• Resolve disparities identified and document resolution of needs

Engage and Educate Members

• Build trust and establish rapport, by using person centered dialogue to effectively communicate with individuals
• Provide face to face and field/community-based support to each member as needed
• Provide outreach to family members of children not enrolled in services who have been referred by the Department of Juvenile Justice and the Department of Social Services (DSS)
• Educate individuals about services covered under the NC Plan for Medical Assistance, Medicaid 1915 b/c waiver, or the State funded service array
• Educate members and families about provider choice, person-centered planning, cultural competence and available resources
• Explain the benefits and financial aspects of Supported Housing, as well as other clinically appropriate community based integrated settings
• Explore and address the concerns of individuals who decline the opportunity to move to supported housing or who are ambivalent about moving to supported housing, despite qualifying for the program
• Provide ongoing technical assistance to foster family leadership, family and professional partnerships, and implement family driven practices

Connect Members to Services and Housing Supports

• Provide linkage to ongoing peer support services in Alliance benefit plan
• Assist families in linking and advocating for appropriate services
• Facilitate and accompany individuals on site visits to permanent housing
• Provide education and training on tenancy rights
• Identify, problem solve, and work to address support needs for members with housing insecurity
• Support the member to complete housing applications

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

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

Engage with Providers and with External Stakeholders

• Collaborate and consult with local stakeholders to enhance and expand available 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
• Represent Alliance in System of Care activities to ensure an integrated System of Care approach for child and adult service systems
• Educate and provide technical assistance to agencies and partners regarding the availability of local services, methods for accessing services, the provider network, mental health reform, and System of Care

Caseload Maintenance

• Maintain accurate caseloads and tracking tools to ensure correspondence is being mailed to identified individuals within the necessary timeframes

Maintain Documentation

• Maintain medical record compliance/quality
• Ensure timely documentation of Care Coordination activities as required by department policy and procedures
• Comply with organization and department Policies, Procedures, Processes, Workflows and Fidelity of Service Engagement Model

Minimum Education & Experience

High school diploma or equivalent and a minimum of two (2) years of experience working with individuals or family members of individuals with behavioral health needs, as well as lived experience in navigating any of the Mental Health, Public Health, Social Service, and/or Justice systems.

Special requirement

Active Drivers License

NC Certified Peer Support Specialist; or National Certification in Family Peer Support.

Certification in NACCM, NADD-Specialist, and/or CBIS required within 12 months of hire;

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)
• Knowledge of and skilled in the use of Motivational Interviewing techniques
• Strong interpersonal and written/verbal communication skills
• Conflict management and resolution skills
• High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
• Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers
• Ability to understand macro and micro level planning, maintaining both the big picture and seeing that the details are covered
• Detail oriented
• Ability to organize multiple tasks and priorities
• Ability to change the focus of activities to meet changing priorities
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Must demonstrate flexibility and adaptability

Salary

$19.11 to $32.90

Education

• High School or better in General Studies

Licenses & Certifications

• Cert Peer Support Spec

Skills

• Communication
• Conflict Resolution
• Interpersonal Skills
• Microsoft Office
• Problem Solving