Community Health worker

• Feb 2015 - Present

• Ongoing direct assistance to support complex, high utilization patients with their plan of care. For example, completing provider referrals to therapeutic treatment, radiology and lab work by scheduling the appointment, transportation and interpreter services; phone calls for medication adherence reminders; education on chronic health conditions and providing useful health tools. Support patient with referrals to community resources such as navigators, case managers, utility assistance, life… Show more • Ongoing direct assistance to support complex, high utilization patients with their plan of care. For example, completing provider referrals to therapeutic treatment, radiology and lab work by scheduling the appointment, transportation and interpreter services; phone calls for medication adherence reminders; education on chronic health conditions and providing useful health tools. Support patient with referrals to community resources such as navigators, case managers, utility assistance, life line, meals on wheels and pharmacy medication packing/delivery programs; and maintenance of communication between primary care provider and specialists • Support healthcare and social services team. Manage Nurse Practitioner, Social Worker and Registered Nurse calendar by booking home visit appointments for patients using the ranking dashboard and/or sick visits as needed. • Conduct one on one visits between CHW and patients • Make outreach calls daily to members who qualify for the program. Explain in detail what the program is about using the outreach script. Schedule new patient appointments • Check in patients using the Electronic Medical Record (EMR) and complete intake process inquiring about patient’s medical history including family, surgical, vaccines, social and problems • Maintain up to date medical consent forms in the patient’s EMR • Request medical records via fax from providers such as primary care, hospitals and specialists • Maintain patient’s EMR updated by uploading most recent office/hospital visit summaries, radiology and lab results • Assist team providers with interpreting during visits with Spanish speaking patients • Take notes to follow-up with plan of care and patient’s needs during all visits • Schedule patient’s follow-up visits with specific team member • Assist patients with filling out forms such as transportation authorization and EOHHS program renewals • Presenter at the 9th Annual Community Health Worker/Patient Navigator Conference

Community Health Worker

• Feb 2015 - Present

Community out reach specialist

• Feb 2012 - Feb 2015

• Collaborated with the Team Lead, Program Coordinator and other departments with the implementation of new line of businesses through Affordable Care Act. • Assisted with creating training documents for outside vendor UHealth • Trained new Community Outreach Specialists staff • Completed health risk assessment surveys for each newly enrolled member • Kept an updated resource network by maintaining a relationship with community resource agencies • Supported members by assisting… Show more • Collaborated with the Team Lead, Program Coordinator and other departments with the implementation of new line of businesses through Affordable Care Act. • Assisted with creating training documents for outside vendor UHealth • Trained new Community Outreach Specialists staff • Completed health risk assessment surveys for each newly enrolled member • Kept an updated resource network by maintaining a relationship with community resource agencies • Supported members by assisting with improving communication with their medical providers • Provided ongoing direct assistance to support members with their plan of care. For example, scheduling appointments, transportation, interpreter services, appointment reminders, education on useful health tools; referrals to Patient-Centered Medical Home in their community and maintenance of communication between provider and member • Identified members through Health Risk Assessment and assist members with social needs by connecting them to their local community resource agency • Educated plan members and care givers in the community in disease self-management (10 week training) • Worked in close collaboration with behavioral health mobile case managers, and nurse case managers using a team-based approach to engage and support high utilization members. • Completed home visits for members who were unreachable within first 30 days of membership • Completed home visit requests from providers requiring outreach for noncompliance • Delivered food from local food pantry to our most vulnerable members • Promoted awareness about the role of the Community Outreach Specialist by presenting at various professional conventions and conferences, community events, and even a monthly guest spot on Latino Public Radio 88.1 FM • Translated documents to Spanish language within the department and on behalf other departments as needed • Presenter at the 7th Annual Community Health Worker Conference

Market Representative

• Mar 2009 - Feb 2012

Assisted in growing all lines of businesses through the implementation of marketing outreach strategies including marketing calls, one-on-one appointments, marketing presentations, and participation in community events • Fielded English & Spanish phone calls from potential members • Receive walk-in appointments with potential members on-site • Screen potential members for eligibility, provide appropriate referrals and community resources • Educate qualified potential members on… Show more Assisted in growing all lines of businesses through the implementation of marketing outreach strategies including marketing calls, one-on-one appointments, marketing presentations, and participation in community events • Fielded English & Spanish phone calls from potential members • Receive walk-in appointments with potential members on-site • Screen potential members for eligibility, provide appropriate referrals and community resources • Educate qualified potential members on enrollment process, plan benefits, provider network, and other pertinent information as requested, or as needed • Prepare packets on a weekly basis which include information about plan benefits, special programs, and the provider directory to all potential members • Conduct follow-up phone calls to potential members • Place retention calls to members who have not renewed and recently termed members. Specifically, members who have a future due date on a monthly basis • Stay abreast of, update accordingly, and inform Marketing and External Affairs Department, all changes to Family Resource Counselor (FRC) list, Federal Poverty Guidelines (FPL), and any other internal or externals changes which may affect the enrollment process • Support marketing outreach strategies by attending and/or presenting during special events, community health fairs, community agencies, schools, and more • Support internal work towards corporate goals including Medical Expense Management (MEM) projects • Assist other departments via Spanish language translation of documents from Beacon and Medical Management departments such as letters used to educate members and/or department marketing materials on a weekly basis • Report to supervisor on a monthly basis • Light office work, data entry, detailed and accurate potential member call documentation, maintenance of potential member files