Health Resilience Specialist

Position Title: Health Resilience Specialist

Department Population Health Partnerships

Title of Manager Health Resilience Program Supervisor

Supervises Non-supervisory position

Employment Status: Regular – Exempt

Requisition: 15964

The Health Resilience Specialist (HRS) works independently and collaboratively with a team of health professionals to provide members with opportunities to improve self-management abilities, health outcomes, and satisfaction with health care. The HRS performs a variety of key services such as intensive case management, short-term problem solving, counseling, referrals to community resources and health literacy education. The HRS has specialized training in Evidence Based Practices providing behavioral changes, as well as experience working with diverse populations that have experienced obstacles and barriers associated with marginalization either in mental health and/or addictions work. With the knowledge of Trauma Informed Care and the skills of Motivational Interviewing, the HRS is responsible for engaging with members whose use of costly acute care services, such as the emergency department and hospital, are driven significantly by complex psychosocial issues.

• Case Management. Work independently to perform multidisciplinary assessment of members in multiple settings (e.g., home, hospital, clinic, etc.), by evaluating all relevant information to determine needs in health care, social supports and access to behavioral health services. Utilize the Electronic Medical Records system for documentation if located at the Primary Care Clinic Make independent decisions regarding client care and care management. Complete appropriate documentation in a timely manner.
  

• Barrier Review and Reduction. Meet with members to identify and reduce or eliminate barriers to care (e.g., social, cultural, linguistic, education), and set effective goals with members. Utilize a person-centered approach in working with clients by respecting their self-determination and autonomy and exploring their ambivalence by utilizing Motivational Interviewing principles. Ensure that clients get timely access to appropriate services by promoting and modeling advocacy skills.
  

• Provider and Member Integration. Collaborate with medical and auxiliary providers in the community to develop health care plans/goals based on identified needs and employ creative strategies to address psychosocial issues. Educate providers about social determinants of health of each individual client by attending appointments with individuals and participating in clinic multidisciplinary huddles. Facilitate communication and positive relationship building between clients and medical providers.
  

• Work Management and Evaluation. Work autonomously in identifying tasks, developing plans, following through on needs, and evaluating outcomes. Report on progress and concerns as appropriate.
  

• Improvement and Innovation. Support improvement and innovation in the workplace. Identify and participate in the development of new alternative care resources not offered by the health plan and creatively utilize community resources.
  

• Project Participation and Leadership. Take an active role within Care Oregon by participating on and leading development teams and projects that are piloting quality improvement related to Triple Aim.
  

• Program Representation. Represent the Health Resilience Program to internal and external customers by maintaining the highest level of respect and professionalism.
  

• Other. Perform other duties as assigned.
  

• Propose and implement process improvements
• Meet deadlines for completion of daily, weekly and month-end reporting
• Maintain agreed upon work schedule
• Demonstrate cooperation and teamwork
• Provide cross-training on specific job responsibilities
• Meet identified business goals that contribute to departmental goals
• Participate in all staff development trainings and meetings.

Knowledge

• Working knowledge and use of Trauma Informed language and principles
• Knowledge of managed health care principles
• Knowledge of impact of generational poverty and other social determinants of health on clients’ ability to develop and follow self-care goals to improve health outcomes

Skills

• Demonstrated skill in word processing and computer skills and ability to learn new technological means of communication and various data bases
• Excellent time management skills and attention to details to maintain focus and meet case load expectations are essential to this position
• Excellent verbal and written communication skills
• Employees in this position are subject to drug screening, as well as a physical and vaccination assessment

Abilities

• Ability to exercise sound clinical judgment, independent analysis and critical thinking skills and knowledge of medical and behavioral health conditions when identifying clients’ multidisciplinary needs, developing health goals and communicating with providers
• Ability to ensure and respect clients’ rights to self-determination and choices in health care
• Ability to implement health promotion activities with clients by setting and reviewing health improvement goals
• Ability to teach positive communication and problem-solving skills
• Ability to coordinate with health plans and providers to ensure consideration is given to unique clients’ needs in care planning
• Ability to establish effective collaborative working relationships with state, county, and community agencies that provide services
• Ability to work with clients from various cultural and ethnic backgrounds demonstrating cultural knowledge and sensitivity to populations being served
• Ability to adapt to fast paced environment and demonstrated flexibility in operating in different work settings communicating with specialists from various educational backgrounds
• Demonstrated ability to work independently and be self-motivated by seeking input from peers and supervisors when in doubt
  

Physical Skills and Abilities Required

Lifting/Carrying up to 10 Pounds

Pushing/Pulling up to 0 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

1-3 hours/day

1-3 hours/day

3-6 hours/day

1-3 hours/day

1-3 hours/day

1-3 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

1-3 hours/day

1-3 hours/day

1-3 hours/day

1-3 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

Ability to operate a motorized vehicle

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:

Master’s Degree in Counseling Psychology, Social Work, Marriage and Family Counseling, or related field required. Minimum two years’ experience in behavioral health, care management, and care coordination and/or social services required. Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle.

Preferred:

Experience working with Oregon Health Plan members, utilization of motivational interviewing and trauma informed care, specialized training in Evidence Based Practices providing behavioral changes, and experience working with diverse populations that have experienced obstacles and barriers associated with marginalization either in mental health and/or addictions work.

Working Conditions

• Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

Inside/office Clinics/health facilities Member homes

Other_________________________________________

• Travel: This position will include frequent 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. Driving infractions will be monitored in accordance with organizational policy.
• Equipment: General office equipment
• Hazards: n/a

• If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check and drug screen. CareOregon is a federal contractor and must comply with all federal laws.

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.