The Health Network by Cincinnati Children's will assume responsibility for management of four new populations when the Ohio Department of Medicaid shifts foster children, children adopted out of foster care ("adoption assistance"), children with medical handicaps, and children with developmental disability waivers from fee-for-service Medicaid into Medicaid managed care.
We are looking for temporary Community Health Workers assist with outreach to the 1,300 new members and for conducting face-to-face visits for the 550 who enroll in case management. These temporary positions will last approximately 3-6 months, and will be full-time Monday-Friday.
Please note that these positions are not benefits eligible.
TITLE: COMMUNITY HEALTH WORKER (TEMPORARY)
DEPARTMENT: Health Network by Cincinnati Children's (HNCC)
SUPERVISOR'S TITLE: Manager of Case Management
TITLES SUPERVISED: N/A
TOTAL NUMBER OF FTEs DIRECTLY OR INDIRECTLY SUPERVISED: 0
Health Network by Cincinnati Children's (HNCC) is a community-based network of providers in and outside of the Cincinnati Children's family whose mission is to improve the system of healthcare for kids in our community.
The network consists of Cincinnati Children's medical center facilities and physicians, in partnership with community pediatricians, federally qualified health centers (FQHCs), city clinics and other community providers. The network has assumed responsibility for coordinating and managing the healthcare of the pediatric Medicaid population in our eight-county southwestern Ohio service area on behalf of two managed care organizations – Paramount Advantage and Molina Healthcare of Ohio Medicaid Plan.
The service area includes the following counties in Ohio: Adams, Brown, Butler, Clermont, Clinton, Hamilton, Highland, and Warren.
HNCC has responsibility for medical management of this population, which includes prior authorizations, specialist referrals, utilization review, and case management.
HNCC is currently recruiting for a temporary, full-time community health worker to assist with the case management of its members.
PURPOSE OF POSITION: To participate as a member of the multi-disciplinary healthcare team in the coordination, referral, and support of medical/social and community services specifically through face-to-face visits and telephonic communication with members and/or families.
Participates as a member of the multi-disciplinary team and assists with the coordination of care, including medical and social service needs and goals. Follows the plan of care. Completes face-to-face visits, which includes evaluation regarding care plan progress and communicating results/coordinating next steps with the care manager.
Accurately schedules appointments for members/families. Answers customers' questions regarding preparations for appointments, directions to clinics, and general hospital questions.
Completes required documentation linked to the plan of care accurately and in a timely manner.
Provides updates to member/family regarding patient condition and progress; information is linked to the plan of care. Refers parents to appropriate resources for information to answer questions and address needs. Consults with care team members to address complex issues.
Skills & Competencies
Exhibit effective verbal, written and interpersonal communication skills.
Be capable of relating to diverse age and demographic backgrounds.
Possess knowledge of development, behaviors, group process techniques and crisis intervention techniques for infants, children and adolescents. Be capable of managing disruptive patients.
Demonstrate an ability to use a problem solving process to develop and evaluate a plan of care.
Possess a valid driving license.
Capable of sitting, standing, walking, bending/stooping, kneeling, reaching, hearing, twisting, seeing, speaking, grasping/manipulating objects and climbing.
·Bachelor's Degree AND 1 year of work experience
·Associate's Degree AND 5 years of experience
·High School Diploma AND 9 years of experience
·Current Community Health Worker (CHW) certification in the state of Ohio
·Experience in a healthcare environment AND familiarity with case management processes/procedures preferred