Community Health Worker (A20-070) Full Time – Alpena or Ossineke

Make more than a living. Make a difference. Work for Alcona Health Center!

Alcona Health Center is a non-profit, Federally Qualified Health Center that is making a real impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services.

We are looking for a highly motivated, resourceful, and talented individual to join our team as a Community Health Worker (A20-070). This is a full-time (40 hours/ week) position in our Alpena or Ossineke location.  Excellent benefit package offered.

General Summary:

The Community Health Worker is a part of an inter-disciplinary clinical care team at a health center who helps increase access to health services for people through outreach, encouraging engagement, education, and peer support.

Overview of Principle Duties and Responsibilities:

  1. Outreach and tracking
    1. Review MCHN provided monthly outreach list for each covered Health Plan and develop a plan for prioritized outreach following MCHN best practices workflow.
    2. Document all outreach attempts in MCHN provided documentation tool and provide results monthly to allow for aggregate reporting to Health Plans.
    3. Provide direct education or engagement with contacted patients or connect to other resources for education as appropriate based upon initial assessment. Typical engagement would include education on appropriate use of health services, assisting with federal, state and local programs that provide or financially support the provision of medical, social, educational, housing, or other related services, and addressing identified factors affecting health (e.g., social, housing, educational).
    4. Assist the Health Center in maintaining its assigned patient panels with covered Health Plans including helping patients change their primary care provider and supporting the Center in removing patients that are not served by the Center from its panels.
  2. Patient and Community Engagement
    1. For assigned members without a current primary care visit, attempt to schedule a primary care appointment to include helping the patient clear common barriers to care as needed or update Health Plan records to reflect patient actual PCP.
    2. For newly assigned patients, coordinate a graduated intensity outreach program to engage patient in care. Share information as needed about the Health Center and its services and what they can expect in their first visit. Ensure documentation of outreach attempts follows MCHN workflow to allow for patient reassignment by Health Plan at appropriate point.
    3. Contact at least 25% of patients weekly who are deemed to be at high risk by a stratification methodology and engage the individual in care management and coordination services/programming provider by the Health Center.
  3. Healthy Michigan Plan Health Risk Assessment
  4. Attempt to contact identified patients in need of completion of a Healthy Michigan Plan Health Risk Assessment.
  5. Assist contacted members with completion of assessment and address triggered interventions.
  6. Inappropriate and Preventable ED Utilization
  7. Contact assigned Health Plan members identified as either high or inappropriate utilizers of the emergency department and encourage engagement with PCP.
  8. Provide education and resources to these members along with encouragement to contact PCP any time they believe they need urgent services to provide the opportunity to address need through Health Center services.
  9. Address identified barriers to care that led to the utilization of ED rather than Primary Care services.
  10. Gaps In Care
  11. Utilize individual and MHN provided reports to prioritize patient outreach attempts to close gaps in care (e.g. missing preventive service, poor chronic disease outcome etc.).
  12. Facilitate scheduling of required visit / testing and eliminate barriers to care as appropriate.
  13. Community Resources/Social Determinants of Health (SDOH)
  14. Conduct SDOH screening and assessment using tools identified by MCHN to uncover individuals needs and connecting members with available community resources addressing, but not limited to, the following SDOH: Food (issues with providing or accessing food for self and family), Housing (adequate, safe affordable housing for self and family), Transportation (non-medical, for employment and daily activities), Economic Stability (poverty, unemployment, budgeting and financial literacy), Social and community connectedness, Neighborhood and built environment (access to foods that support healthy eating patterns, crime and violence environmental conditions, community support), Health and healthcare (access to primary and preventive care, access to health care generally, and health literacy).
  15. Administrative Functions and Reporting
  16. Report the appropriate detailed documentation below to MPCA by the 3rd work day of each month utilizing the patient tracking report.
  17. Complete accurately, and in a timely manner, all-necessary forms, case recordings and statistical reports, and submits such documentation supervisor within designated timelines.
  18. Ongoing Education
  19. Participate actively in regular supervisory and team meetings and training sessions such as:
  • Monthly one-on-one calls with MPCA liaison/staff
  • Monthly group community health worker team calls
  • In-person or online webinars / training as required
  • Participate at least once a month on CHW online peer to peer system
  1. Successful completion of the paraprofessional CHW Training Program within 180 days of hire

Required Certification and/or Licensures:

  1. Possesses a current Basic Cardiac Life Support (BCLS) CPR
  2. Possesses a current State of Michigan driver’s license and valid automobile insurance.

We’re glad you are considering Alcona Health Center for employment! Successful candidates will work as a valued member of our team of medical professionals to provide quality, comprehensive care in the Patient Centered Medical Home model.

To Apply:

Please use the online form here to submit your application.  Be sure to include your resume and letter of interest indicating why you believe you are a good fit for this role.

Alcona Health Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Alcona Health Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Alcona Health Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Alcona Health Center will not tolerate discrimination or harassment based on any of these characteristics. Alcona Health Center encourages applicants of all ages.