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Community Health Worker Population Health - Chronic Disease Management Program

Job ID: 11133
Location: Morrisville, NC
Facility/Division: Health Alliance
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description

Description

 UNC Health Alliance is UNC Health’s statewide clinically integrated network and population health services organization. The mission of this team is to transform healthcare delivery on behalf of more than 7,200 providers by offering patient-centered solutions to populations covered under alternative payment models. Joining this team means you will work closely with providers, practices, payers, business leaders, and community partners to improve the quality and accessibility of care while lowering the cost of care for patients, payers, and businesses. We are a growing team looking for top talent to help us with creative solutions that improve patient care and help make healthcare more affordable. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Job Summary: 

This is a full-time, virtual position with the UNC Health Alliance Population Health Services department supporting a food insecurity research study. While UNC Health Alliance is the employer, this position is funded via a two-year term-limited contract with the potential for long-term retention as a Community Health Worker upon study completion. The Population Health Support Specialist – Community Health Worker is responsible for patient outreach to recruit and enroll patients in the study. Once patients are enrolled in the study, Community Health Workers will support patients in adopting healthy eating habits and chronic condition self-management practices as part of an interdisciplinary care and research team. Evening hours may be required to meet patient needs. Applicants may also be asked to complete tasks assigned by the Population Health Manager and the research team leads to support the research study. Such tasks include, but are not limited to, direct patient outreach, patient progress reviews, and nutrition and wellness coaching. Community Health Workers will be trained on Epic (UNC Health's electronic medical record) and specific study-related procedures. Team members will learn the basics of health education and specific nutrition-based coaching methods and tools. 

Description of Job Responsibilities: 

1. Maintains an environment of safety for patients, self, and others. 

2. Recruits patients for study using guidelines and tools provided by research team leads. 

3. Actively participates in departmental, service line and/or organization quality improvement initiatives to ensure patient, departmental, and organizational, and research study goals/outcomes are met or exceeded. 

4. Reports issues and system barriers for efficient and effective care plan support and research study participation to the Population Health Manager and the research team leads per policy. 

5. Provides care planning support, resource coordination, and health coaching in accordance with study protocols. 

6. Appropriately identifies, provides, & documents provision of potential community and health system resources to address barriers to care. 

7. Partners with interdisciplinary care team to support patient’s care plan, provide nutrition coaching, and to ensure barriers to care have been addressed and the patient is provided with appropriate resources and services. 

8. Actively participates in huddles, interdisciplinary care and research team meetings and other departmental meetings to address identified barriers so that patients can make progress toward care plan goals/outcomes in a timely manner. 

9. Communicates effectively through documentation in the electronic medical record and by verbal interactions with the physician, interdisciplinary care and research team, patient, and family/caregivers. 

Responsibilities:
1. Maintains an environment of safety for patients, self, and others.
2. Actively participates in departmental, service line and/or organization quality improvement initiatives to ensure patient, departmental and organizational goals/outcomes are met or exceeded.
3. Reports issues and system barriers for efficient and effective care plan support to the Population Health Manager and the Population Health Team Leads per policy.
4. Interdisciplinary Care Planning, Resource Coordination, and Health Coaching.
5. Appropriately identifies, provides, & documents provision of potential community and health system resources to address barriers to care.
6. Partners with interdisciplinary care team to support patient’s care plan to ensure barriers to care have been addressed and the patient is provided with appropriate resources and services.
7. Actively participates in huddles, interdisciplinary care team meetings and other departmental meetings to address identified barriers so that patient can make progress toward care plan goals/outcomes in a timely manner.
8. Communicates effectively through documentation in the electronic medical record and by verbal interactions with the physician, interdisciplinary care team, patient, and family/caregivers.


Other Information

Other information:
Education Requirements:
● High school diploma or GED

Licensure/Certification Requirements:

● N/A

Professional Experience Requirements:

● Minimum 1 year of experience in community outreach and resource coordination highly desired. Volunteer experience may be considered.Knowledge/Skills/and Abilities Requirements:

• Bilingual (Spanish-speaking) –desired but not required 

• Community outreach experience in any of the following geographic areas (desired but not required): Wake, Johnston, Franklin, Lee, Chatham, Alamance, Orange, Durham, Caswell, Nash and Person. 

• General nutrition knowledge – desired but not required 


Job Details

Legal Employer: NCHEALTH

Entity: Health Alliance

Organization Unit: Pop Health Supp Admin 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: No


• Bilingual (Spanish-speaking) –desired but not required • Community outreach experience in any of the following geographic areas (desired but not required): Wake, Johnston, Franklin, Lee, Chatham, Alamance, Orange, Durham, Caswell, Nash and Person. • General nutrition knowledge – desired but not required 


This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

Equal Employment Opportunity

UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.

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