Community Health Network of Connecticut, Inc.

Role Description Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking five (5) Clinical Practice Transformation Specialists for the Rural Health Transformation (RHT) Program. The Rural Health Transformation (RHT) Program is a federal grant that empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem. Primary Responsibilities: - Work with qualifying Connecticut Medical Assistance Program (CMAP) primary care practices enrolled in the Connecticut Department of Social Services (DSS) Rural Health Transformation Program (RHTP) on obtaining/maintaining national Patient-Centered Medical Home (PCMH) recognition and on quality improvement (QI) efforts. - Reports to the Team Lead, Rural Health Transformation Program in conjunction with the QM Team Lead, PCMH Program Administrator. Tasks Performed: - Support DSS PCMH enrolled practices to utilize data to drive improvements in health outcomes of the Medicaid population through practice transformation strategies and actionable interventions that complement value-based payment models. - Ensure practices are using tools available to the practices, such as gaps-in-care reports and analytic tools to improve provider performance on quality metrics and patient outcomes. - Manage quality work plan interventions and collaborate with others on quality initiatives to improve company performance and member health outcomes. - Maintain a collaborative relationship with CMAP primary care practices clinics enrolled in the DSS PCMH program; meeting DSS PCMH program RHTP criteria and NCQA PCMH recognition. - Offer direct support to newly enrolled practices, completing all NCQA requirements for and with the practices, with a long-term goal of assisting them to develop their own resources and skills to manage their Medicaid population effectively. - Educate DSS PCMH program practices on evidence-based guidelines and standards of care at the population level. - Provide access to community-based resources through a referral to CHNCT Community Health Workers and ICM staff. - Required to obtain NCQA Patient-Centered Medical Home CEC and must adhere to the certification requirements to obtain annual CEUs to renew and maintain their certification. - Other duties as assigned by the Team Lead, Rural Health Transformation Program in conjunction with the QM Team Lead, PCMH Program Administrator. Essential Functions: - Communicate effectively to provide education and guidance to the CMAP primary care practices so they can successfully obtain certification as a PCMH practice. - Monitor and evaluate DSS PCMH program progress toward RHTP deliverables while providing clinical and non-clinical support needed to facilitate optimal outcomes. - Conduct practice profile visits to convey the importance of improving or achieving high-performance results on key quality measures while identifying barriers that exist at the practice level and among patient populations. - Implement effective practice transformation approaches to develop initiatives that will improve patient outcomes. - Work collaboratively with primary care providers and their respective clinical teams to identify, stratify and support Medicaid beneficiaries in reaching their health potential to address health care disparities including those members with disabilities and chronic conditions. - Assist with incorporating QI strategies required to ensure provider practices move toward value-based care. - Complete on-site and virtual (telephonic or web-based) visits to DSS RHTP PCMH enrolled practices. - Assist RHTP PCMH practices with the implementation of strategies. Qualifications - Four years post-secondary schooling - Bachelor's degree - Nursing, allied health or related discipline - 3 to 5 years prior clinical experience. Equivalent clinical experience may be substituted for degree requirement. Requirements - Strong teamwork and interpersonal skills as well as the ability to effectively communicate at all levels. - Good time management and organizational skills along with the ability to manage continually changing priorities. - Ability to exercise independent and sound judgment in decision making. - Experience with Statistical Research Methods and Advanced Healthcare or Nursing Research required. - Excellent oral and written communication skills. - Strong computer and keyboard skills. - Must hold a valid and unrestricted motor vehicle operator’s license and provide documentation of required level of automobile insurance coverage. - Must have reliable transportation. Certifications Required - State Motor Vehicle License Benefits - We are dedicated to having a workplace where everyone feels valued, respected, and empowered to succeed. - We embrace a wide range of perspectives and backgrounds, ensuring fair treatment and opportunities for all employees. - We value our team’s rich array of experiences and viewpoints, which contribute to our innovative and collaborative environment. - We are committed to providing an inclusive and accessible interview process. If you require a reasonable accommodation for your interview due to a disability, please contact us in advance if you need an accommodation.

Role Description Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking three (3) Community Health Workers for the Rural Health Transformation Program. The Rural Health Transformation (RHT) Program is a federal grant that empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem. Under the direction of the Community Health Worker Team Lead, the Community Health Worker serves as a staff resource with specialized knowledge and experience in reducing barriers to accessing care. This entry-level Community Health Worker will be responsible for connecting with members and their families to navigate and access providers, community services, and other resources. - Connecting members to providers - Providing social support - Community-based outreach and advocacy - Culturally based education and health promotion - Referrals to services for individuals and families enrolled in the HUSKY Health Program - Working closely with medical providers, primary care teams, and other agencies - Coordinating and supporting transitions of care - Conducting health risk assessments as needed - Cultivating and maintaining awareness of community cultures and values Qualifications - One to two years' post-secondary schooling - High school diploma or GED; Associates degree preferred - Social services, public health, or allied health discipline - Minimum 1 year work experience, volunteer experience helping others or working with vulnerable populations - Experience with community-based organizations and/or state agencies - Understanding of Social Drivers of Health (SDOH) needs Requirements - Trust building traits and problem-solving skills - Knowledge of a specific community, population, and local resources - Bilingual (English/Spanish) Preferred - Must live in one of the designated geographic locations in need - Basic computer skills required - Current and unrestricted motor vehicle operator's license and reliable transportation - Must earn Community Health Worker (CHW) certification within the first two (2) years of employment Certifications Required - State motor vehicle license Benefits - Dedicated workplace where everyone feels valued, respected, and empowered to succeed - Embrace a wide range of perspectives and backgrounds - Ensuring fair treatment and opportunities for all employees - Commitment to providing an inclusive and accessible interview process