Community Health Worker- Field

CVS Health•Buckhannon, WV

6d•$19 - $32•Hybrid

About The Position

The Community Health Worker (CHW) is a full-time field teleworker position requiring West Virginia residency and residence in one of the listed Northern-region counties. The role is part of the care management team and involves telephonic and face-to-face member contact to assess needs, provide support, and bridge members with community resources and the healthcare system. The CHW helps address gaps in care through outreach, education, and advocacy to improve health outcomes and coordination of care. Members served include people of all ages in the Medicaid population, including children and youth in foster care, child welfare, adoption, and other specialty programs. The role requires travel by personal vehicle to member homes, residential treatment facilities, shelters, group homes, community settings, agencies, and other locations at least 70% of the time. Mileage is reimbursed under company policy. Core business hours are 8 a.m. to 5 p.m. Eastern, Monday through Friday, with flexibility to work outside those hours as needed to accommodate members. A flexible schedule may be available after six months based on demonstrated performance and attendance. This is a work-from-home role requiring a direct, hardwired internet connection meeting specified minimum speeds, a quiet and secure private workspace compliant with company and HIPAA guidelines, and work from the state and city where the employee resides. CVS Health provides computer equipment, while the employee supplies workspace furniture. The role requires use of electronic health records and secure systems, multiple applications and monitors, and digital communication and collaboration tools.

Requirements

High school diploma or GED or higher.
At least 2 years of relevant experience, such as healthcare, community-based services, social services, or case management.
Complete an approved Community Health Worker certification program within 12 months of hire.
Demonstrated proficiency with personal computers, keyboards, multi-system navigation, and Microsoft Office applications, including Outlook, Word, Excel, and SharePoint.
Reliable transportation, a valid and active driver's license, and proof of vehicle insurance, with ability to travel up to 70% of the time using a personal vehicle.
Must reside in West Virginia and in one of these counties: Lewis, Upshur, Barbour, Harrison, Taylor, Marion, Monongalia, Wetzel, Tyler, Doddridge, Pleasants, Ritchie, Marshall, Ohio, Brooke, or Hancock.
Ability to meet work-from-home requirements, including a direct hardwired internet connection with at least 25 Mbps download and 3 Mbps upload, and a quiet, secure, private, designated workspace.
Ability to work within the state and city where the employee has confirmed residence.
Ability to set up and use multiple monitors, navigate multiple applications, and communicate through email, calendar invites, Teams messaging, and virtual meetings.
Ability to access secure systems such as VPN and EHR portals, follow security practices, and troubleshoot common technical issues.

Nice To Haves

Experience in a community or outpatient setting.
Experience serving Medicaid populations in urban or rural environments and knowledge of local formal and informal resource networks.
Community Health Worker certification or equivalent training and experience.
Motivational Interviewing skills.
Experience with complex children and adolescent populations, including complex physical health, adoption, juvenile justice, or foster care.
Experience delivering behavioral health services and using evidence-based practices.
Experience with high-risk chronic physical or behavioral health conditions and interventions, such as in a clinic, provider office, or hospital.

Responsibilities

Conduct home visits with members to help locate community resources, schedule appointments, complete applications for eligible programs, arrange transportation, and provide education about services, medications, and health conditions.
Conduct telephone and email outreach to members, agencies, care providers, and community organizations regarding member needs and care.
Collaborate with care team participants, including care managers, department workers, legal or custodial guardians, healthcare providers, and community partners.
Assess gaps in care and social determinants of health that may impede care or well-being, and formulate interventions to address identified needs.
Contact community organizations and partners to determine resource availability and eligibility for members.
Adapt to working conditions and environments that may be unknown or variable, including member homes and individual circumstances.
Document member outreach and care coordination in the electronic health record according to market processes and maintain records for compliance.
Protect member confidentiality and protected health information in accordance with HIPAA policies and company guidelines.
Independently organize work, solve problems, and prioritize tasks to meet deliverables, deadlines, and expectations.
Use interpersonal and communication skills to work with individuals from diverse cultural and socioeconomic backgrounds.
Travel extensively, at least 70% of the time using a personal vehicle, to member homes, community locations, and agencies.
Perform other responsibilities as indicated.