About On Belay Health Solutions

On Belay Health Solutions is a Massachusetts-based physician-led managed services organization (MSO) devoted to supporting independent primary care physicians. On Belay provides enhanced Medicare value-based contracts that empower physicians with the resources necessary to invest in innovative care models and population health management tools. This allows physicians to practice medicine and positively impact the health of their communities in the way they have always dreamed.

About the role

On Belay is seeking a motivated, passionate Community Health Worker to assist our provider partners’ Medicare patients. The goal of the Community Health Worker is to assist identified patients with developing their health goals and creating a plan to manage real life issues that keep them from achieving those goals. The Community Health Worker will collaborate with other team members to conduct needs assessments and identify and respond to barriers to their health and wellness.

We are looking for a Community Health Worker to join our care management team in the South Shore/Greater Attleboro, Massachusetts area. The position is a full-time position (40 hours), Monday-Friday daytime hours. The position is hybrid with the expectation for half-time in the office.

What you'll do

• Develop trusting relationships with patients by providing support and advocacy to help achieve health goals

• Assist patients in accessing community resources through referrals to appropriate agencies (e.g., food stamps, meals on wheels, subsidized housing, free legal services, Medicaid/Medicare applications, support groups, etc.)

• Meet with patients in patient-centered and patient-preferred locations (e.g., center, facility, home, community setting).

• Manage referrals as defined by the care management program and collaborate with social work or care manager on action plan

• Engage with high-risk individuals

• Assist completion of applications to access eligible benefits

• Assist patients in scheduling medical appointments as needed

• Perform wellness checks in homes

• Participate in communication with care team (e.g., family members, care givers, medical providers, community-based organizations) as deemed appropriate

• Document interactions with patients in medical record and care management platform

• Any other related duties assigned at manager’s discretion

Qualifications

• Minimum of one year of relevant work experience in community health

• Deliver sensitive and responsive services to patients from diverse cultures and socioeconomic communities.

• Assist patients in finding community resources related to Social Determinants of Health (SDOH) needs, including housing, food, transportation, utilities, medication costs, adult daycare, etc.

• Work in partnership with patient and caregivers to identify and address barriers to care and help develop skills to achieve better health outcomes

• Previous community health experience working with patients with complex medical, social, and psychiatric/behavioral needs

• Must be a self-directed individual able to work independently without direction and able to prioritize workload

• Basic computer skills including working knowledge of Microsoft Office products

• Experience working in EMR’s such as EPIC and Athena

Preferred Qualifications

• Associate's degree in human services, Public Health, or similar degree
• Massachusetts Board Certification in CHW (or obtain within 6 months of hire)
• Knowledge of health plans, Medicare, and Medicaid
• Bilingual (English/Spanish)

Work Environment and Physical Demands

The work environment and physical demands described here are representative of those required by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work Environment Standard remote office setting. Duties are performed primarily in a remote office environment while sitting at a desk or computer workstation. At least minimal environmental controls to assure health and comfort. May involve working non-standard, evening, and weekend hours.

• Physical Demands. Employees regularly sit or stand for long periods, use hands, wrists, and fingers to operate an electronic keyboard or other office machines, reach with hands and arms, speak clearly and distinctly to answer telephones and to provide information; see to read fine print and operate computer; hear and understand voices over telephone and in person; and lift, carry, and/or move objects weighing up to 25 pounds.

Benefits

• Innovative, revolutionary environment

• Great culture with a strong sense of mission and community

• Eleven (11) Paid Holidays

• Generous PTO Accrual and Eleven (11) Paid Holidays

• Advancement opportunities & professional skills training

• Paid study time for pre-FSA actuarial students

• Strong referral bonus program

• And more!

Compensation

• We offer a competitive base salary ranging from $27 - $30/hour, depending on experience,

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.