Job Summary

Works within the community providing outreach to patients with complex medical and social needs. Acts as a resource to assist patients in navigating the health care system.

Job Duties

• Orients and assesses new Community Health Workers.
• Provides regular assessment of the level of proficiency demonstrated by staff during the orientation period in order to support decisions to move staff along in training or refocus until proficiency is met.
• Assists in the identification and outreach of medically complex patients.
• Collaborates with the multidisciplinary team in the development and implementation of the care plan.
• Engages patients by way of phone call, home visit, hospital visit, and accompanying patients to Providers appointments as needed.
• Completes vital signs.
• Identifies gaps in care and connects members with resources.
• Facilitates telemedicine visits with members and providers.
• Performs disease specific education.
• Conducts Medication Review to ensure medication adherence.
• Conducts safety evaluations in patients home.
• Facilitates adherence to treatment plan by early identification and resolution of gaps in care.
• Communicates all concerns to clinical team and manager as necessary, seeking support and guidance proactively.
• Participates in multidisciplinary team conference in order to maximize the treatment plan.
• Provides reinforcement of the treatment plan under the direction of the Case Manager and Licensed Social Worker and is available for consultation and case review as needed.

Work is typically performed in a home environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details

Details: 800a-430 4 days/week with one day 930-6 pm. No holidays or weekends

• Full benefits (health, dental and vision) starting on day one 

• Three medical plan choices, including an expanded network for out-of-area employees and dependents  

• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contribution 

• Company-paid life insurance, short-term disability, and long-term disability coverage  

• 401(k) plan that includes automatic Geisinger contributions  

• Generous paid time off (PTO) plan that allows you to accrue time quickly  

• Up to $5,000 in tuition reimbursement per calendar year  

• MyHealth Rewards wellness program to improve your health while earning a financial incentive  

• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones  

• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more 

• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance 

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 1 year-Related work experience (Required)

Certification(s) and License(s)

Valid Driver's License - Default Issuing Body

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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