Community Health Worker (Advanced Care)

1. Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure they receive appropriate care and services promptly.
2. Coordinate and collaborate with licensed clinicians and/or Health Management programs, as needed. Adjust workflows when necessary to provide optimal care for each situation or individual.
3. Uses effective communication techniques, including motivational interviewing, to encourage members to attend regular provider appointments, close open care gaps, and utilize medical services that support their health. Engage with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination for members overall.
4. Delivers comprehensive education, resources, referrals, and connections to health-related services within the community. Facilitates the introduction of new or underutilized programs and services to community members.
5. Provides guidance to community members facing complex health cases in navigating healthcare systems. Responsibilities may include, but are not limited to, conducting home visits, accompanying individuals to appointments, and supporting community events as needed. Exercises sound professional judgment and adhere strictly to scope and licensure boundaries to ensure actions are taken in the best interest of the community member(s).
6. Provides culturally appropriate health education and instructions on using existing health and social services, presenting information clearly and effectively.
7. Performs all other miscellaneous responsibilities and duties as assigned or directed.

Hawaii Medical Service Association (HMSA) is a nonprofit health insurer in the state of Hawaii. HMSA was founded in 1938, is an independent licensee of the Blue Cross Blue Shield Association, and is the largest insurer in the state of Hawaii serving more than 700,000 people.