
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
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10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
• Conducts in-home, clinic-based, telephonic, and community-based wellness visits with patients/members as assigned. • Completes health risk assessments, social needs screenings, and follow-up activities to identify barriers related to health care access, food, housing, transportation, medication access, safety, utilities, and other social drivers of health. • Provides support, education, and reinforcement to help patients/members understand and follow their individualized care plans. • Supports medication adherence by providing reminders, identifying barriers to medication access or understanding, and escalating concerns to the appropriate clinical team member. • Assists patients/members with appointment reminders, follow-up care needs, preventive screenings, immunizations, routine checkups, and appropriate use of their medical home. • Facilitates transitions of care after hospital, emergency department, or skilled nursing facility discharge by assisting with outreach, follow-up needs, appointment coordination, resource connection, and escalation of concerns. • Connects patients/members to appropriate internal and external resources. • Helps patients/members access community-based resources, including food assistance, housing support, transportation resources, utility assistance, financial assistance programs, and other social service supports. • Assists patients/members with completion of forms, applications, resource referrals, and follow-up steps needed to access programs or benefits for which they may be eligible. • Serves as a trusted liaison between patients/members, families, community organizations, health care providers, clinics, and social service agencies. • Builds positive, supportive relationships with patients/members while promoting engagement, self-management, and active participation in health and wellness goals. • Documents all encounters, outreach attempts, assessments, identified needs, interventions, referrals, and follow-up activities in the appropriate electronic system according to departmental expectations. • Escalates concerns related to safety, unmet social needs, changes in health status, behavioral health concerns, medication concerns, suspected abuse/neglect, or barriers requiring clinical or social work intervention to the appropriate team member. • Maintains current knowledge of community resources, health care services, payer resources, internal programs, and referral pathways. • Works collaboratively and effectively within a team while also demonstrating the ability to work independently in community-based settings.
• High School diploma or equivalent • Valid Driver’s License • Completion of a Community Health Worker, Community Healthcare Worker, Community Health Education Resource Person, or similar curriculum within one year of hire. • CPR certification. • Medical Assistant, Certified Nursing Assistant, Patient Care Technician, Health Coach, Peer Support, or other health care/community health-related certification. • Prior experience in a health care, community health, public health, social service, case management, care coordination, patient navigation, or related setting. • Experience working directly with patients, members, families, or community members to address barriers to care. • Experience with electronic health records or other documentation systems. • Experience supporting patients with chronic conditions, preventive care needs, medication adherence, transitions of care, or social drivers of health. • Experience conducting outreach, home visits, community-based visits, or field-based work.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Frequent standing, sitting and walking or ability to sit for long period of times. • Ability to walk moderate distance indoors and outdoors • Ability to lift, push, or pull a minimum of 40 pounds • Visual acuity(corrected)-keen for both distance and near objects; Hearing (aid permitted) –must be able to function without use of lip reading.
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