Targeted Care Navigation Community Health Workers promote wellness by helping members adopt healthy behaviors via implementing personalized care and health plans, advocating for members who may have limited access to health resources, and providing patient self-management support with a focus on empowering the member to build capacity for self-care. They will assess and communicate with members in their homes, as well as by electronic means. They will be a part of an integral team including a Local Nurse Care Manager and an Included Health Virtual PCP.

Responsibilities:

• Partner with clinical and health plan teams to engage, advocate, educate, navigate, and coordinate with and on behalf of individuals who have been identified as having social needs that impact their health
• Visit patients and members in their home or community settings while also partnering with care management and care teams (e.g., clinics, emergency departments, homecare, health plan, etc.)
• Establish trusting relationships with members and their families to help them become more engaged ...