Job description
Riverside University Health System (RUHS) - Community Health Clinics seeks a Community Services Assistant to join our team. This job opening will serve to fill a Community Services Assistant vacancy in Banning.
The Community Services Assistant (CSA) is a field-based member of the Enhanced Care Management (ECM) Care Team who has lived experience in the ECM Members’ community and serves as the bridge between the ECM Member and the healthcare system. The CSA focuses support on ECM Members who are difficult to engage and/or who have cultural or linguistic barriers to care, via field-based contacts including accompaniment to appointments. Assists the RN Care Manager, BH Care Manager and Patient Services Coordinator in panel management by performing delegated activities as assigned.
Duties include but are not limited to:
The Community Services Assistant (CSA) is a field-based member of the Enhanced Care Management (ECM) Care Team who has lived experience in the ECM Members’ community and serves as the bridge between the ECM Member and the healthcare system. The CSA focuses support on ECM Members who are difficult to engage and/or who have cultural or linguistic barriers to care, via field-based contacts including accompaniment to appointments. Assists the RN Care Manager, BH Care Manager and Patient Services Coordinator in panel management by performing delegated activities as assigned.
Duties include but are not limited to:
- Provides ongoing monitoring of the Targeted Engagement List (TEL).
- Assists the ECM Care Team in engagement efforts of eligible ECM Members.
- Assists Members in navigating the healthcare system. Follows up by phone and in person with eligible ECM Members, helping Members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing information on barriers with the multi-disciplinary team and providers.
- Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member’s sense of control over their whole health.
- Collaborates on Member care issues with other ECM Care Team members, participating in weekly systematic case reviews and ad hoc case reviews, and consults with Registered Nurse Care Manager and/or the Behavioral Health Care Manager before taking any action that is clinical in nature.
- Accompanies ECM Member to office visits, as needed, and in the most easily accessible setting, within RUHS guidelines.
- Engage members in the hospital through in person visits when able. Engaging those eligible but not yet enrolled, as well as those currently enrolled in ECM to re-engage for follow-up after discharge.
- Distributes health promotion materials.
- Assists with scheduling Member with other ECM Care Team members and care team as appropriate.
- Connects ECM Member to other social services and supports he/she may need.
- Advocates on behalf of Members with health care professionals.
- Monitors treatment adherence (including medication and Shared Care Plan goals). Coordinates with ECM Member in the most easily accessible setting, within IEHP guidelines (e.g. could be patient home, provider or regional office, or other settings.)
- Responsible for at least one meaningful outreach per enrollee per month.
- Responsible for ongoing engagement with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team.
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