POSITION SUMMARY

The Community Health Manager (LPN) supports community health activities and oversees a team of community health workers. This position is accountable for the smooth running of daily operations, achieving targeted outcomes, and client satisfaction while maintaining compliance. This position works to ensure that the MyCare team is delivering effective person-centered care plans for positive health outcomes driven by one-to-one home-based interventions addressing social determinants of health and increasing self-efficacy and self- sufficiency.

ABOUT HOME ASSIST HEALTH

Our mission is to be a bridge of compassionate equality for all people in their independence, health and wellbeing. Our vision is to be a home care pioneer creating stronger communities one person at a time. We achieve results by exemplifying our values in everything we do: Creating trust through integrity, Partnering for stronger communities, Boldness to lead with pioneer spirit, Innovation that elevates the human potential, Serving with compassionate equality, and Promoting value through meaningful outcomes.

ESSENTIAL FUNCTIONS

· Perform as a representative of Home Assist Health upholding the company mission, vision, and purpose.

· Works with Executive Director to project manage the implementation and execution of new community health initiatives.

· Monitor CHW caseloads, analyze person-centered care plans, reports, enrollment timelines (duration of care), progress towards goals, and support of clients.

· Identify and recommend opportunities to further enhance person-centered care plans for positive outcomes, goal achievement, and when appropriate readiness for graduation (completion of the program).

· Organize and implement CHW onboarding/training and provide ongoing support and coaching to CHWs so they do their best work for clients.

· Lead for CHW externships and apprenticeships.

· Facilitate team meetings, keep, and distribute minutes as appropriate.

· Prepare for and perform as team lead in case conferences (staffing meetings) with clinical partners.

· Manage electronic and paper filing systems and documentation.

· Create and maintain protocols, workflows, and job aids that support internal and external activities for the team.

· Liaise with cross continuum care partners: healthcare, social services, and community partners.

· Provide patient navigation through medical and non-medical needs, insurance and other resources, and when needed, advocates.

· Serves as MyCare’s enrollment specialist: first point of contact for a referral partners and case assigns CHWs.

· Review schedules in electronic health record system for timely billing and payroll processing

· Manage team within payroll/human resource system (i.e. review time off requests, approve timecards, etc.)

· As needed perform as back up to a Community Health Worker

· Assist with other duties as assigned.

COMPETENCIES

· Strong communication skills

· Naturally person-centered

· Experience in goal setting and achievement

· Experience in health coaching, skill building and navigation

· Experience working with behavioral health dynamics

· Understanding of medical terminology

· Understanding of social determinants of health

· Proficient in Microsoft office, and Electronic Health Record systems

· Familiar with Medicaid services and programs

· Requires the ability to read, write and speak effectively in English. Bilingual preferred

· Must be able to work independently, as well as in a team environment.

· Must have proven ability to lead and coach/mentor others.

TRAINING AND EXPERIENCE

· Current and Valid Arizona LPN License (required)

· Current CPR and First Aid

· Current Direct Care Worker Certified Level 1 and Level 2 (ADP and DD modules)

· Experience and/or knowledge with special projects, coordination and implementation.

· Experience and/or knowledge with infrastructure and process creation.

· Experience and/or knowledge of Home Assist Health service industry: non-medical home care, habilitation, intervention and or clinical settings.

PHYSICAL REQUIREMENTS

· Must be able to lift 25 lbs.

· Professionally work with patients of all genders in close proximity

· May require sitting or standing for long periods of time

PHYSICAL & MENTAL LIMITATIONS STATEMENT

You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in evaluating reasonable accommodations.