Community Health Worker - Care Management - MA/CNA/LPN

• Esse Health is the largest independent physician practice in the St.
• Louis Metropolitan area with over 100 physicians, in 35+ locations, serving nearly 130,000 patients.
• We are leading the health care community by placing patients and their physicians at the center of health decisions.
• Esse Health is more than a healthcare provider - it's a place where medicine is a calling and not just a profession.
• It's a team of extraordinary medical professionals with the latest ideas for keeping patients healthier.

Join Our Team!

Esse Health is currently seeking a Community Health Worker to be based out of our Central Office/HUB located in Town & Country!

Opportunity

The Community Health Worker (CHW) is a member of the care management team partnering with Primary Care Physicians to enhance patient health outcomes. This role is responsible for accessing community services for patients and their families. Upon referral the Community Health Worker will assist patients in accessing community services for their specific needs. The Community Health Worker supports the care continuum by serving as a liaison between providers and assists with the enrollment of services and community resources by delivering culturally competent care.

• The Community Health Worker will incorporate both face-to-face and telephonic-based services. The CHW is responsible for working collaboratively with the patients, family, physicians, and the entire health care team. The CHW will ensure that patients have the necessary support, resources, education, follow-up appointments, and home care needed to improve outcomes and reduce the risk of re-hospitalization.
• Full-time schedule.
• Monday - Friday, 8:00 a.m. - 5:00 p.m.
• Eligible for the Esse Health full-time benefits package.

Day-to-Day

• Completes applications for community and health-related resources; prepares documentation for provider visits; and provides additional administrative support as needed.
• Tracks, monitors, and follows up on referrals and outcomes related to pharmacy services, durable medical equipment (DME), and home care.
• Assists patients with identifying, arranging, and scheduling transportation; advocates on behalf of patients; supports clinical staff (including administering health screenings, as applicable); and coordinates care by identifying resources and addressing barriers to access.