Community Health Worker, Enhanced Care Management (PSH)

CARDEA HEALTH-posted 4 days ago
$26 - $26/Yr
Full-time • Entry Level
Onsite • San Francisco, CA
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The Community Health Worker (CHW) is an essential member of Cardea Health’s Enhanced Care Management (ECM) team, supporting residents of Permanent Supportive Housing (PSH) who are living with complex medical, behavioral health, and social needs. The CHW leverages their lived and/or community-based experience to build trust, engage clients in care, and coordinate services that promote health, housing stability, and overall well-being. Working under the direction of the ECM Care Manager, the CHW serves as a bridge between clients, healthcare providers, housing staff, and community resources.

  • Build rapport and maintain trusting relationships with ECM clients living in PSH settings
  • Conduct outreach, home visits, and wellness checks to support engagement in ECM and related services
  • Assist clients in identifying personal health and life goals and developing action plans to achieve them
  • Provide culturally responsive education on health topics, medication adherence, and chronic disease management
  • Collaborate with the ECM interdisciplinary team, including Care Managers, Behavioral Health Clinicians, Substance Use Navigators, and Housing Case Managers to coordinate care and services
  • Support care transitions, such as hospital discharges, changes in medical conditions and in housing, or benefits
  • Help clients navigate healthcare systems, schedule appointments, arrange transportation, and access benefits or entitlements
  • Document client encounters and progress in alignment with ECM and Cardea Health standards
  • Advocate for client needs within healthcare, housing, and social service systems
  • Identify barriers to care and collaborate with the ECM team to problem-solve and reduce those barriers
  • Maintain knowledge of community-based services and resources to connect clients effectively
  • Participate in team case conferences, quality improvement activities, and ECM data tracking
  • Work collaboratively with PSH site staff to promote integrated and coordinated care delivery
  • Uphold Cardea Health’s mission, values, and trauma-informed, harm reduction, and person-centered principles in all interactions
  • Experience providing direct support to individuals experiencing homelessness, behavioral health conditions, or chronic illness
  • Knowledge of harm reduction, motivational interviewing, and trauma-informed care practices
  • Strong interpersonal skills and the ability to build rapport with diverse populations
  • Familiarity with community-based resources, public benefits, and housing systems
  • Valid California driver’s license or ability to travel to various PSH sites as needed
  • High School Diploma or equivalent
  • Must have personal, reliable transportation to and from shifts
  • Must be 18 years of age or older
  • Self-directed and able to work with minimal supervision
  • Must be detail oriented and highly organized
  • Must be COVID vaccinated or willing to be vaccinated
  • Certification as a Community Health Worker or Peer Specialist
  • Bilingual in English and Spanish or another language commonly spoken in the community
  • Experience working within Medi-Cal ECM, CalAIM, or managed care coordination programs
  • Employer-supported medical
  • Access to dental and vision insurance
  • Paid vacation and sick time
  • Retirement plan (401k) participation with a company match
  • Commuter benefits
  • Long Term Disability
  • Life Insurance
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