Under direct supervision, provides direct care services to patients as well as clinical support for the Maryland Primary Care Program (MDPCP) and other Value Based Performance Programs. Serves an important role in furthering care plans developed by providers, management of chronic disease, promotion of healthy behaviors and preventing unnecessary hospital utilization by, including but not limited to, performing in-home assessments, conducting SDOH patient screenings, helping patients and families navigate and access essential community resources, and conducting depression screenings; and other duties as assigned.

ESSENTIAL FUNCTIONS

• Conducts in-home visits related to basic care continuity as well as following hospitalizations to facilitate care needs assessments in addition to closely working with providers to develop and execute chronic care management plans.
• Collects clinical data during home visits including but not limited to basic vital signs and weight.
• Conducts Social Determinant of Health Patient Screenings.
• Assists patients in setting personal health related goals and makes all scheduled health appointments.
• Helps patients and families identify and access pertinent community resources.

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED) required
• Completion of an accredited Community Health Worker training program 
• One to two years related experience working in a community-based setting preferred 
• Experience and comfort working in a multi-cultural setting
• Ability to perform all CHW responsibilities under state and faculty guidelines
• PC proficiency
• Strong customer service skills and telephone skills
• Accurate data entry skills
• Knowledge of GE, EPIC or similar computerized billing system
• Medical terminology preferred
• CPR certification is required

Total Rewards
The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.  University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://www.umfpi.org/jobs/summary-employee-benefits