Community Health Worker

CVS Health•Flint, MI

19d

About The Position

The Community Health Worker (CHW) at Oak Street Health serves as a bridge between patients, the community, and medical systems to remove barriers and improve wellness across all areas of life. The CHW advocates for and liaises with patients through proactive in-person and phone outreach tailored to their care needs, promoting health literacy and access to resources. The position requires flexibility, problem-solving, strong communication, and knowledge of the community served. CHWs work closely with Medical Social Workers to manage patient care plans, support care team decisions, and coordinate clinical and complementary services. The role operates within the CHW’s scope of practice and does not require a clinical license. CHWs meet patients in patient-centered, preferred locations, such as an Oak Street Health center, a patient’s home, another medical provider’s facility, or a community setting. They should expect to spend about half their time outside the center and must have reliable transportation to travel throughout the community. The role is full-time, with 40 anticipated weekly hours.

Requirements

At least 1 year of experience in a healthcare, community-based, case management, or social service environment.
Strong oral and written communication skills.
Ability to manage multiple priorities while maintaining a positive attitude.
Dedication to serving the community and building meaningful relationships.
Proficient computer skills, including Windows, GSuite, and Microsoft tools.
Access to reliable transportation and ability to travel throughout the community to various locations.
U.S. work authorization.

Nice To Haves

Fluency in a language commonly spoken in the community when necessary, most often English and Spanish.
Experience working on multidisciplinary teams with organizations, agencies, patients, and community members.
Knowledge of community resources and resource navigation.
Community Health Worker certification or an associate or bachelor’s degree in a related field.
Experience using electronic medical record systems.
A problem-solving orientation and a flexible, positive attitude.

Responsibilities

Establish and maintain interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs.
Manage care-team-defined patient referrals and collaborate with the Medical Social Worker on action plans.
Facilitate communication among parties involved in patients’ care, including family members, caregivers, medical providers, and community-based organizations.
Build relationships with local community organizations and maintain an inventory of organizations that may benefit patients.
Connect patients with state and local resources related to housing, transportation, food, activities of daily living, and other social or physical barriers to health.
Assist patients in completing applications to access eligible benefits and resources.
Promote patient goal-setting and goal achievement to improve quality of life and self-efficacy, using goals agreed upon by the care team.
Meet patients in patient-centered and patient-preferred locations.
Drive engagement with high-risk individuals, including support for completing specialty appointments and attending post-discharge visits; this may include accompanying patients to appointments.
Complete referrals to organizations and agencies as needed.
Deliver culturally appropriate health education in areas for which Oak Street Health has provided competency training.
Support care team decision-making by participating in interdisciplinary team meetings.
Document patient interactions promptly in the electronic medical record while maintaining HIPAA standards and confidentiality of protected health information.
Manage time and priorities, work independently, and collaborate effectively with an interdisciplinary medical team.
Perform other duties as assigned.