Community Health Worker - Patient Navigation

Community HealthWorks•Sacramento, CA

5d•$25 - $31•Hybrid

About The Position

Community HealthWorks (CoHeWo) advances health equity by helping individuals and families access the health coverage, care, and community services they need to thrive. We work at the intersection of health care and community support, partnering with managed care plans, health systems, community-based organizations, and government agencies to remove barriers to care. Our team provides community-based navigation, care coordination, and outreach services that connect people to health coverage, primary care, public benefits, housing support, and other critical resources that improve well-being. Community Health Workers are central to this work, serving as trusted connectors between communities and the systems designed to support them. The Community Health Worker (CHW) – Patient Navigation provides direct patient navigation services within Sacramento-area hospital emergency departments and healthcare settings. This role works directly with patients to identify healthcare and social needs, connect individuals to primary care and community resources, coordinate referrals, and support continuity of care following hospital encounters. The CHW serves as a bridge between patients, healthcare providers, health plans, and community organizations to help individuals access appropriate services and reduce barriers to care. Services may include primary care linkage, Social Determinants of Health (SDOH) screening, transportation coordination, Enhanced Care Management (ECM) referrals, Community Supports referrals, health plan navigation, and connection to community resources. This role is non-supervisory.

Requirements

High school diploma or GED required.
Valid California driver’s license
Proof of auto insurance
Reliable transportation
Ability to travel throughout Sacramento County and surrounding areas
Employment is contingent upon completion of a criminal background check.
Must comply with any immunization, health screening, hospital onboarding, training, or safety requirements required by partner sites or public health regulations.

Nice To Haves

Associate degree in social services, psychology, public health, healthcare, or related field preferred.
Two (2) years of experience in health care, social services, community outreach, case management, interpreting, or client-focused roles preferred.
Familiarity with Medi-Cal, CalAIM, healthcare navigation, or community-based services preferred.
Knowledge of Medi-Cal managed care plans, CalAIM programs, and Community Health Worker (CHW) services is a plus.
Ability to work effectively with diverse communities and individuals experiencing health or social barriers.
Strong communication, organizational, and relationship-building skills.
Ability to work independently while managing multiple priorities.
Demonstrated cultural humility and commitment to health equity.
Ability to maintain professional boundaries and confidentiality.
Strong attention to detail and documentation accuracy.

Responsibilities

Engage patients within hospital emergency department and healthcare settings to assess healthcare and social support needs.
Assist patients in connecting to primary care providers, specialty care, and community resources.
Schedule follow-up appointments and support continuity of care after hospital visits.
Coordinate referrals between healthcare providers, health plans, hospitals, and community-based organizations.
Conduct follow-up activities to support successful service linkage and care coordination.
Conduct Social Determinants of Health (SDOH) screenings and identify barriers to care.
Connect patients to community resources, transportation services, and supportive programs.
Screen for Enhanced Care Management (ECM) and Community Supports eligibility and facilitate referrals when appropriate.
Educate patients about available healthcare services, health plan benefits, and community resources.
Maintain accurate and timely documentation in Salesforce, Unite Us, and other approved systems.
Document patient interactions, referrals, services provided, and outcomes in accordance with program requirements.
Collaborate with hospital staff, health plans, healthcare providers, and community partners to support positive patient outcomes.
Participate in team meetings, case conferences, and continuous improvement activities.