Community Health Worker- Bachelors in Social Work - no nights no weekends

Fallon Health • Worcester, MA

95d

About The Position

The Community Health Worker (CHW) serves as a vital member of the interdisciplinary team within the PACE program, supporting the holistic care of older adults. This role focuses on non-regulatory coordination of services for a designated panel of participants, ensuring seamless communication, service delivery, and participant engagement. Working closely with the Licensed Master's-level Social Worker, the CHW helps bridge gaps in care, promote wellness, and enhance quality of life for participants.

Requirements

• Bachelor's degree in Social Work (BSW) or related human services field
• Prior experience in community health, elder care, or case coordination preferred
• Strong interpersonal and communication skills
• Ability to work independently and collaboratively in a fast-paced, team-oriented environment
• Familiarity with PACE model of care or integrated care systems a plus
• Valid driver's license and reliable transportation for home visits

Responsibilities

• Serve as the primary point of contact for non-clinical service coordination for assigned participants
• Facilitate communication between participants, caregivers, and the interdisciplinary team
• Support participants in navigating services such as transportation, home care, meals, and social supports
• Collaborate with the Social Worker to implement individualized care plans
• Monitor participant progress and report changes in status or unmet needs
• Participate in team meetings and contribute to care planning discussions
• Conduct home visits and community outreach to assess participant needs
• Educate participants and families on available resources and services
• Advocate for participant preferences and cultural considerations
• Schedule and coordinate non-clinical services such as adult day health, personal care, and durable medical equipment
• Track service delivery and follow up on missed or delayed services
• Maintain accurate documentation in compliance with organizational standards

What This Job Offers

• Industry: Hospitals
• Education Level: Bachelor's degree