Community Health Worker

Job Description

It’s Time For A Change...

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely – about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and one of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Who You’ll Be Working With:

The Community Health Worker will work as an extension of the clinical care team and specifically under the guidance of an RN or Social Work Care Manager. The individual taking this role will be assigned patients and will manage his/her caseload through in-person, telephonic and electronic communications and coordination.

What You’ll Be Doing:

• Work under the guidance of the Senior Director of Clinical Operations or Manager of Clinical Operations
• Conduct initial outreach calls to encourage patients and care givers to participate in care management programs
• Document their activities in the Identifi platform, including care plan activities conducted
• Engage with patients who need assistance with self-care needs
• Address language and cultural barriers to care and self-care
• Coach and guide the patient to meet both personal and clinical goals
• Schedule provider visits on behalf of their patients
• Remind patients of and/or accompany patients to their visits
• Help patient access community and governmental based service agencies including assistance with completing applications/paperwork
• Reinforce the symptom response plans developed and taught by the provider
• Arrange community resources that address social determinants of health
• Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing
• Participate in the integrated care team meetings
• Assist with process and supportive tasks based on market need, such as completing provider notifications of patient admissions and discharges, and verifying patient contact information for outreach
• Collaborate with other care team members to ensure best patient interventions and outcomes

The Experience You’ll Need (Required):

• Medical Assistant, Certified Nursing Assistant, Engagement Specialist, or Community Health Worker Certification
• Knowledge of San Antonio, TX communities and ability to provide own transportation to and from surrounding areas as needed

Finishing Touches (Preferred):

• Experience working with patients with chronic and behavioral health needs
• Ability to connect with people and understand the challenges they face
• Demonstrated success in working as part of an interdisciplinary team including communicating and working with Physicians, Registered Nurses, Social Workers, Pharmacists, and, Health Coaches, and Dietitians

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.