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Community Health Worker, Complex Case Management

Company: Oscar Health
Location: Miami
Posted on: May 15, 2022

Job Description:

Job DescriptionHi, we're Oscar. We're hiring a Community Health Worker, Complex Case Management to join our Clinical Care Team team.Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.About the role:The Community Health Worker will work with Oscar's Clinical Care Team to help support Oscar members with multiple diagnoses, medication management, and any barriers related to social determinants of health. The Community Health Worker will educate members on improving health outcomes and participate in process improvement and other pilot programs as they arise.You will report to a Complex Case Management Lead. This is a remote / work-from-home role though field work is required. You must reside in one of the following states: California, Florida, Georgia, or Texas. Note, this list of states is subject to change. #LI-RemoteResponsibilities:

  • Work collaboratively within the diverse team.
  • Develop positive working relationships with Oscar members, providers, case managers, agency representatives, supervisors and office staff from diverse cultural and socio-economic backgrounds.
  • Assist members in their homes, community, or clinic setting communicating the purposes of the programs and the impacts it may have on their wellbeing.
  • Help members identify socio-economic issues that affect their overall health and develop health and social management plans and goals.
  • Document all member encounters and maintain comprehensive electronic member files, which include member notes, release of information, assessments and other medical documents acquired on behalf of the member.
  • Communicate with members by phone or secure messaging using your expertise in an unscripted way to provide education on health conditions and community resources
  • Coach members in the management of their chronic health conditions and self-care under the direction of Case Manager.
  • Assist members in understanding care plans and instructions motivating members to be active and engaged participants in their health and overall wellbeing.
  • Provide support and advocacy during initial medical visits and to assure members' medical needs and referrals are being conveyed.
  • Follow up with both members and providers regarding health/social services plans, where needed.
  • Expand knowledge and use of community resources and services facilitating member access to community resources, including housing, food, clothing, prenatal, parenting, and providers to teach life skills, and mental health services.
  • Help schedule appointments with social services agencies and help complete applications for programs for which they may be eligible.
  • Reduce cultural and socio-economic barriers between members and institutions.Requirements:
    • CHW certification required from approved Community Health Certification Program, or two years of equivalent work experience
    • 2+ years experience directly related to the responsibilities specified
    • Bilingual in Spanish or Creole
    • High school diploma or GED
    • Ability to travel to facilities/homes within a reasonable distance of hiring address.Bonus points:
      • AA or Bachelor's degree in social science or health related fieldThis is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. Life at Oscar: At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.We aim to make health care affordable and accessible for all, and apply this same vision to our perks and benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, and volunteer opportunities.Pay Transparency Policy:Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.Reasonable Accommodation:Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ( to make the need for an accommodation known.To protect the health and safety of our employees, we require any employee conducting in-person work* to be fully vaccinated against COVID-19 by their start date. If you are unable to be vaccinated due to medical or protected religious reasons, please reach out to our Benefits team at to submit an accommodations request.*Note: In-person work includes: employees required to work from our offices, employees conducting sales work in the field and employees conducting at-home or in-person visits with members.

Keywords: Oscar Health, Miami , Community Health Worker, Complex Case Management, Executive , Miami, Florida

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