Community Health Worker- Field

CVS Health • Wheeling, WV

5d • Hybrid

About The Position

The Community Health Worker (CHW) is a full-time field teleworker position with Aetna Better Health of West Virginia. The employee must reside in West Virginia and in one of the listed counties in the Northern region. The role is part of the care management team and involves telephonic and face-to-face member contact to assess needs, provide support, address gaps in care, and connect members with healthcare providers and community resources. CHWs serve as a bridge between members, communities, and the healthcare system through outreach, education, and advocacy. The population served includes Medicaid members of all ages, including children and youth in the Children’s Specialty program and their families.

The role involves extensive field travel—70% or more of the time—in a personal vehicle to locations such as member homes, residential treatment facilities, shelters, group homes, agencies, and other community settings. Mileage is reimbursed under company policy. Standard business hours are Monday through Friday, 8 a.m. to 5 p.m. Eastern Time, with flexibility to work outside those hours as member availability requires. A flexible schedule may become available after six months, subject to demonstrated performance and attendance.

This is a work-from-home role requiring a secure, private, quiet workspace and a direct wired internet connection meeting the stated speed requirements; Wi-Fi and satellite internet are not permitted. CVS Health provides computer equipment, while the employee supplies workspace furniture. The position requires use of electronic health record and other secure systems, digital communication and collaboration tools, and multiple applications. Applicants must live and work in the state and city where their residence has been confirmed.

Requirements

• High school diploma or GED, or higher.
• At least 2 years of relevant experience, such as healthcare, community-based work, social services, or case management.
• Complete an approved Community Health Worker certification program within 12 months of hire.
• Demonstrated proficiency with personal computers, keyboarding, navigating multiple systems, and Microsoft Office applications, including Outlook, Word, Excel, and SharePoint.
• Reliable transportation, a valid and active driver’s license, and proof of vehicle insurance.
• Ability to travel up to 70% of the time to locations within the region using a personal vehicle; mileage is reimbursed under company policy.
• 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 obtain or maintain a direct wired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
• Quiet, secure, private, tidy, and organized designated home workspace that is free from distractions, complies with CVS Health and HIPAA guidelines, and allows uninterrupted work during work hours.
• Ability to work from the state and city where the employee’s current residence has been confirmed.
• Ability to set up and use multiple monitors and navigate multiple applications simultaneously.
• Ability to use digital communication tools such as email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 applications or similar tools such as Google Workspace.
• Ability to access secure systems such as VPN and EHR portals, secure a computer when unattended, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently and contact IT for issues that cannot be resolved.
• Openness to learning new skills as the workplace environment evolves.
• Ability to provide workspace furniture, such as a desk or standing desk, and to remain at a desk for extended periods.

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 work 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 conditions.
• Conduct telephone and email outreach with members, agencies, care providers, and community organizations about member needs and care.
• Collaborate with care team participants, including care managers, department workers, legal or custodial guardians when applicable, healthcare providers, and community partners.
• Assess gaps in care and social determinants of health that may impede care or well-being, and develop interventions to address identified needs.
• Connect with community organizations and partners to determine resource availability and eligibility in support of member needs.
• Adapt to situations where working conditions or environments are unknown or may vary, including member homes.
• Document member outreach and care coordination in the electronic health record according to market processes, and maintain member records in compliance with requirements.
• Maintain member confidentiality and protected health information in accordance with HIPAA policies and company guidelines.
• Independently organize, problem-solve, and prioritize tasks to meet deliverables, deadlines, and expectations.
• Use interpersonal and communication skills to work with people from diverse cultural and socioeconomic backgrounds.
• Travel 70% or more of the time using a personal vehicle to member homes, community locations, agencies, and other locations as needed.
• Perform other responsibilities as indicated.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting colleagues’ and families’ physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED