Community Health Worker II (CHW II)

COPE Health Solutions•Downtown Los Angeles, CA

2d•Onsite

About The Position

The Community Health Worker II (CHW II) is an experienced, field-based member of the Integrated Care Team in COPE Health Solutions’ Enhanced Care Management (ECM) program, a Medi-Cal benefit under CalAIM. The program provides person-centered care management to members with complex medical, behavioral health, and social needs. The CHW II works mainly in person wherever members live, seek care, or feel most comfortable, manages an assigned caseload with minimal supervision, and continues to identify, engage, and enroll eligible community members. The CHW II builds trust with members who may be hard to reach and helps them follow through on care plans by coordinating appointments and transportation, accompanying members to visits, supporting transitions after hospital or facility stays, and connecting members to community resources and benefits. The role uses motivational interviewing, harm reduction, and trauma-informed approaches, and serves as a bridge between members, their care teams, and community partners. As an experienced team member, the CHW II mentors early-career CHWs through shadowing, joint visits, onboarding support, and peer guidance. This role is non-supervisory and partners with the Program Manager to support new staff and strengthen team practices. The position is non-exempt, regular, and full-time; it reports to the Program Manager and has no direct reports. The listed locations are Los Angeles, Norwalk, Downey, and South Los Angeles, California, with travel up to 80%. Salary range: $29.00–$32.00.

Requirements

High school graduate or equivalent required.
At least two years of experience as a CHW, promotor(a), care coordinator, or in a similar community-based role required.
Experience working in multicultural settings and knowledge of the communities served in Los Angeles County.
Computer proficiency required.
Valid California Driver’s License.
Functioning vehicle with valid insurance coverage.
Ability to manage a complex caseload and competing priorities independently while remaining calm and professional.
Ability to engage people of all ages and backgrounds, including children, teens, families, and members hesitant to engage.
Proficiency in motivational interviewing, trauma-informed care, harm reduction, and de-escalation.
Working knowledge of Medi-Cal, CalAIM, ECM, and Los Angeles County community resources.
Ability to communicate clearly and respectfully in person, by phone, and in writing, including active listening.
Strong commitment to confidentiality, cultural humility, and healthy professional boundaries.
Self-directed, flexible, organized, and able to work in the field with minimal supervision.
Ability to document accurately and promptly in a high-volume environment.
Ability to identify and suggest workflow and system improvements.
Commitment to the ECM program mission and to professional, respectful, cooperative, and reliable conduct.
Ability to follow program safety protocols for field and home visits.

Nice To Haves

Associate’s degree in a health-related or related field.
Experience in street and community outreach, such as street medicine, homeless outreach, or community-based care management.
Experience with ECM, Whole Person Care, Health Homes, or other Medi-Cal care management programs.
Experience training, mentoring, or precepting peers or new staff.
Completion of a formal Community Health Worker training program from a college, community agency, or other educational institution.
Training in motivational interviewing, trauma-informed care, or harm reduction.
Written and oral fluency in English and Spanish.
Experience with an EMR or care management documentation system.

Responsibilities

Identify, locate, engage, and enroll eligible ECM members through street and community outreach, visits, calls, and other member-preferred methods; document each outreach attempt.
Explain ECM services in culturally and linguistically appropriate terms and serve as a primary liaison between members and needed services.
Build and maintain referral relationships with shelters, clinics, hospitals, and community-based organizations.
Complete required assessments and screenings and identify social drivers of health.
Collaborate with the care team to develop and update individualized, person-centered care plans and help members understand and request changes to them.
Help members set personal health goals, break them into achievable steps, and track progress.
Manage an assigned caseload, prioritizing contact and follow-up according to member acuity and changing circumstances.
Coordinate appointments, transportation, follow-up, and services across primary care, specialty care, behavioral health, and social services; accompany members to appointments when needed.
Support transitions from hospitals, emergency departments, skilled nursing facilities, and other settings, including timely post-discharge follow-up.
Keep the Case Manager and care team informed about member status, barriers, and progress; participate in case reviews and interdisciplinary team meetings.
Coordinate with other care managers, providers, and programs serving the same member to support connected care and avoid duplication.
Use motivational interviewing, harm reduction, and trauma-informed approaches to support behavior change, treatment adherence, and chronic-condition self-management.
Provide culturally, linguistically, and health-literacy-appropriate health education to members, families, and caregivers.
Advocate for members with providers, agencies, and benefit programs and help members develop self-advocacy skills.
Provide emotional support and encouragement and use de-escalation skills in challenging situations.
Ensure members’ care gaps are addressed and closed in accordance with health plan requirements.
Maintain current knowledge of Los Angeles County community resources, public benefits, and CalAIM Community Supports; make referrals and help members complete applications and enrollment forms, then follow up on service receipt.
Mentor and coach early-career CHWs through shadowing, joint field visits, and check-ins; model effective outreach, engagement, and professional boundaries.
Help onboard new CHWs on ECM workflows, documentation standards, field safety, and local community resources.
Serve as a peer resource for complex member situations and escalate clinical, safety, or compliance concerns to the Program Manager or clinical staff.
Share field insights and recommend improvements to workflows, tools, and training.
Document member interactions, outreach, and care coordination in the EMR and care management systems within 24 hours of contact; meet standards for caseload, engagement, documentation quality, and timeliness.
Maintain HIPAA compliance and member confidentiality and represent COPE Health Solutions’ mission while maintaining effective working relationships.
Follow field and home-visit safety protocols and meet expectations for punctuality, professionalism, reliability, teamwork, and timely, accurate work.