COVID-19 VACCINATION REQUIRED FOR ALL YCCO EMPLOYEES EXCEPT FOR AN APPROVED ACCOMMODATION FOR MEDICAL OR SINCERELY HELD RELIGIOUS BELIEF. PLEASE SEE ADDITIONAL INFORMATION BELOW.

DEPARTMENT:     Health Plan Operations                        FLSA STATUS:               Exempt

REPORTS TO:       Community Health Supervisor             PHYSICAL STRENGTH:      Light (L)

SUMMARY

This position is responsible for serving as the single point of contact by leading Yamhill Community Care (YCCO) efforts to identify and support community-centered activities to increase utilization and integration of community-based and clinic-based Traditional Health Workers (THW). This role supports the integration of community health programs and THW providers into care teams and treatment plans by performing the following duties.

LEARN MORE ABOUT YAMHILL COMMUNITY CARE:  click here

ESSENTIAL DUTIES

1. Leads the implementation of YCCO’s THW utilization and integration plan including planning and facilitating meetings, creating buy in, and implementing strategic vision for advancing THW workforce, tracking decisions, actions and identified strategies.

2. Collaborates with providers and community stakeholders to improve regional access and availability of community based THW and health education services and supports. 

3. Acts a liaison between internal and external partners to ensure accountability and responsible for maintaining and monitoring technical project plans, reports, and other supporting documents.

JOB DUTIES

Program Support & Coordination

• Coordinates with the THW workforce, plan partners and provider network to develop, pilot, and evaluate models to improve member access to and system integration of THWs.
• Collaborates with community organizations to develop and support ongoing patient self-management programs and the dissemination of health education.
• Aids in support of THW payment models.
• Monitors and regularly communicates project status to ensure progress toward completion and within agreed upon timelines.
• Proactively identifies barriers and challenges and develops recommendations with management and staff to discuss and resolve matters critical to THW integration and utilization.
• Organizes, facilitates, and participates in meetings with partner organizations to identify tools and tracking of baseline and future measurement and utilization of THWs across plan partners.
• Collects and synthesizes data, tracks, and reports on THW related Oregon Health Authority (OHA) contractual requirements and supports monitoring and evaluation activities.
• Responsible for participating in improvement plans and projects related to assigned functional areas.

Technical Assistance, Training, & Education

• Contributes to the ongoing review and analysis of the provider network and systems and identifies opportunities for improvement.
• Acts as a technical information coordinator to further the understanding of THW scope of work, care model, and oversight responsibilities.
• Makes formal and informal presentations and reports providing updates on THW related efforts.
• Tracks and promotes funding models being employed to reimburse for THW services.
• Works with management, staff, and external partners to develop and maintain project plans that outline clear goals, activities, timelines, deliverables
• Trains and mentors Community Health Workers (CHWs), serving as an advanced resource.
• Establishes and maintains professional and collaborative relationships with providers (physical, mental, dental health), OHA, other CCO Liaisons, THW Commission, and plan partners.
• Supports workforce development by sharing training and certification processes including technical aid on how to enroll as a provider and on-boarding new providers.
• Helps members learn new skills and approaches.
• Develops, in partnership with YCCO staff THW, related informational material describing scope of service, benefits and availability for the provider network, members, community partners.
• Resolves member and partner concerns by instructing understanding on access to services (e.g. specialty care, dental, NEMT, behavioral health, and appeals).

Community Engagement

• Convenes cross system/sector partners inclusive of Yamhill Community Care staff, health system and community stakeholders to develop and coordinate a regional THW integration and utilization system.
• Assists in preparing, implementing, and marketing programs and initiatives to enhance member engagement.
• Through case referral, supports members in accessing THW services in both clinical and community-based settings.
• Assists members in navigating to and utilizing THW providers and services.
• Collaborates with plan members, the healthcare team and auxiliary providers identifying members’ needs and challenges.
• Develops and maintains trusted relationships with members by being patient, open-minded, non-judgmental, compassionate, flexible, responsible, supportive, and demonstrating follow-through.

ESSENTIAL DEPARTMENT & ORGANIZATIONAL FUNCTIONS

• Participates in the preparation and submission of regulatory and contract required deliverables.
• Works closely with other YCCO departments, including Health Plan Operations and Quality Assurance and Compliance, to assist with audits – including the External Quality Review (EQR) - as needed. 
• Proposes and implements process improvements.
• Meets deadlines for completion of workload.
• Maintains agreed upon work schedule.
• Demonstrates cooperation and teamwork.
• Provides cross-training on specific job responsibilities.
• Meets identified business goals that contribute to departmental goals.
• Reports member complaints to the appropriate authority for investigation and follow-up, per protocol.
• Maintains strict confidentiality, observing all HIPAA rules.
• Maintains professional boundaries and effective working relationships with YCCO and staff, members, providers, and partners.
• Participates in work-related continuing education when offered or directed.
• Follows departmental and organizational policies and procedures.
• Performs other duties and projects as assigned.
• Respectfully takes direction from Supervisor.

KNOWLEDGE, SKILLS, & ABILITIES

• Ability to write and edit content for written reports and presentations.
• Ability to communicate effectively in all forms of communication.
• Ability to analyze, collect, prepare, and distribute appropriate materials for meetings as assigned.
• Knowledge of how to locate, assemble, edit, and summarize materials, information and data as requested.
• Excellent listening, interpersonal and customer service skills.
• Motivational interviewing, health care teaching, and coaching skills.
• Excellent organizational skills including ability to handle multiple priorities and demands simultaneously in a dynamic work environment. Ability to work independently, when needed, and to use sound judgment.
• Ability to establish and maintain effective, collaborative relationships with colleagues, providers, community agencies and OHA staff.
• Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook.
• Knowledge of community resources.
• Knowledge of barriers to care such as language, cultural factors, transportation, ability to self-manage and psychosocial issues and bring those to the attention of the care team.
• Knowledge of Oregon Health Plan (OHP) benefit package and OHA rules and regulations.
• Ability to work in an environment with diverse individuals and groups.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities. 

QUALIFICATIONS

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

EDUCATION & EXPERIENCE

Required:

• __Bachelor’s degree in health administration, public health, or health related field.

     OR:

• Minimum of three (3) years’ program coordination in health systems or social service sector

     OR:

• Any combination of education and experience that would qualify candidate for the position

Preferred:

• Traditional Health Worker training

CERTIFICATES, LICENSES AND/OR REGISTRATIONS

Preferred:

• Traditional Health Worker certification

PHYSICAL DEMANDS & WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, stand, walk, use hands and fingers, handle or feel, and reach with hands and arms. The employee is occasionally required to climb or balance, stoop, kneel, crouch or crawl. The employee may occasionally need to lift and/or move up to 25 pounds.

This position operates in a professional office environment and requires frequent use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Specific vision abilities required by this job include close vision, color vision, distance vision, depth perception, and ability to adjust focus. The noise level in the work environment is usually moderate.

This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.

ADDITIONAL INFORMATION ABOUT COVID-19 VACCINATION REQUIREMENTS

To safeguard the health of our employees and their families; our members and visitors; and the community at large, YCCO requires all employees to be fully vaccinated against COVID-19 or have an approved medical or religious accommodation as a qualification of employment.

Job candidates that receive a contingent offer of employment from YCCO must provide proof of COVID-19 vaccination, along with a completed attestation that the documentation submitted is true and correct to Human Resources Department;

OR

Submit a completed request for accommodation form due to a medical reason or sincerely held religious belief to the Human Resources Department to begin the interactive accommodation process.