Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No 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 clinical 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. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Certified Community Health Worker (CCHW) - Pennsylvania Certification Board Skills: Clerical I, Communication, Multitasking, Problem Solving 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, 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.