(Full Time) Community Health Worker (CTRI) Jurupa Valley, CA

Heluna Health•Jurupa Valley, CA

1d•Hybrid

About The Position

The Community Translational Research Institute (CTRI) is dedicated to improving population health through the translation of prevention science into community-based programs and sustained practice and policy. CTRI partners include leaders from Claremont Graduate University, County of Riverside, Inland Empire Health Plan, and University of California Riverside School of Medicine. The Community Health Worker (CHW) serves as a frontline advocate for population health and engagement initiatives. This role involves outreach, screenings, and care navigation for vulnerable populations, such as Medi-Cal members and refugees, to address health equity gaps. The CHW builds community trust to facilitate service enrollment and provides culturally responsive health education through various grant-funded programs. This position supports services under the Inland Empire Health Plan (IEHP) Participating Provider Agreement for Community Health Worker Services, requiring adherence to IEHP guidelines, documentation standards, and regulatory requirements. This is a full-time (40 hours per week) benefited position provided by Heluna Health.

Requirements

High school diploma required; Associate or Bachelor’s preferred in public health, social work, or related field.
Minimum 2 years’ experience in community outreach, healthcare navigation, social services, or case management support.
Experience working with underserved or multicultural populations.
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
Successful Live Scan (background check) clearance.
Must successfully complete a tuberculosis (TB) clearance.
Must not be currently excluded or debarred from participation in any Federal or State healthcare programs (Medi-Cal, Medicare, and Medicaid).
Proficient skill set in using an array of Microsoft Office Suite software programs such as Word, Excel, PowerPoint, Access, Adobe Reader, One Note, Outlook, Publisher, Teams, Outlook, Zoom etc.
Able to multi-task and set workload priorities for time sensitive projects/tasks.
Ability to problem solve and make recommendations to processes, policies, etc.
Able to communicate with all levels of personnel, e.g., written, verbal, in a professional and concise/clear manner; ability to work within a project team and/or independently.
Able to work in a very diverse environment and with diverse individuals.
Ability to be flexible in meeting changing work tasks and timelines; must be dependable and reliable.

Nice To Haves

CHW certification (California preferred).
Experience with Medi-Cal, ECM, or community-based programs.
Experience working within a managed care or health plan environment.
Bilingual preferred (English + Spanish, Farsi/Dari, Pashto or Arabic).
Strong organizational skills, including an ability to manage multiple work projects simultaneously, track project details, and meet deadlines.
Strong technical skills with Microsoft excel and experience with database management (e.g., Electronic Health Record Systems) preferred.
Ability to attend meetings, provide training, technical assistance, and other job-related duties in locations throughout Southern California and have reliable transportation to carry out essential functions.

Responsibilities

Conduct field and community outreach to identify and engage eligible individuals and families.
Build trusted relationships with community members, faith groups, clinics, shelters, and partners.
Verify Medi-Cal and health plan eligibility prior to enrollment in CHW services.
Track outreach activities in accordance with contract productivity standards and reporting timelines.
Support outreach campaigns including MENA community engagement, health promotion and prevention, and community education events.
Represent CTRI at community meetings, health fairs, and partner events.
Conduct screenings for health-related social needs (housing, food, behavioral health, benefits, etc.).
Support enrollment into CHW services, Community Supports, and other CTRI programs.
Verify IEHP Member eligibility prior to initiating services and document eligibility status in the care management system.
Assist clients with applications for benefits (Medi-Cal, CalFresh, SSI, etc.).
Provide navigation and warm handoffs to primary care, behavioral health, substance use treatment, housing and social services.
Accompany high-risk clients to appointments when appropriate.
Support individualized care plans and follow-up activities.
Assist with appointment reminders, medication pick-up coordination, and service linkage.
Provide ongoing follow-up and engagement to reduce care gaps.
Identify and report Member grievances, safety concerns, or adverse events in accordance with IEHP policies.
Operate within the defined scope of Community Health Worker services and escalate clinical concerns to licensed providers as appropriate.
Provide culturally responsive health education and coaching.
Support chronic disease prevention and self-management education.
Use motivational interviewing and strengths-based approaches.
Promote mental health awareness and stigma reduction.
Document outreach, encounters, referrals, and outcomes in EHR/care platforms.
Maintain accurate and timely service documentation per program requirements.
Track outreach, enrollment, and service metrics.
Support quality improvement and reporting activities.
Submit a monthly cumulative report.
Complete documentation in accordance with IEHP Participating Provider Agreement requirements.
Ensure documentation supports medical necessity and services rendered.
Submit encounter information accurately and within required timelines to support reimbursement.
Maintain records in accordance with IEHP record retention and access-to-records requirements.
Participate in documentation reviews or audits conducted by IEHP or authorized entities.
Support development of community partnerships and referral networks.
Participate in case conferences, team meetings, and trainings.
Assist with program planning and outreach strategies.
Provide feedback on community needs and service gaps.
Support interns or volunteer CHWs when assigned.
Comply with all IEHP policies, administrative guidelines, and regulatory requirements applicable to Community Health Worker services.
Complete required compliance trainings including HIPAA and confidentiality standards.
Maintain strict protection of Member Protected Health Information (PHI).
Cooperate with IEHP audits, monitoring activities, or site visits.
Report suspected fraud, waste, abuse, or compliance concerns to supervisor promptly.
Other duties assigned.