Community Health Worker

Albuquerque Health Care for the Homeless•Albuquerque, NM

35d

About The Position

Every day, people across Albuquerque face impossible choices between health, housing, safety, and survival. For more than four decades, Albuquerque Health Care for the Homeless has stood alongside our community’s most vulnerable neighbors, providing compassionate care, creating pathways to stability, and championing systemic change. More than 5,000 people each year find support through our integrated model of care, but our impact extends far beyond the walls of our clinic. Through advocacy, partnership, and innovation, we are working to transform the systems that drive homelessness and build a community where everyone has the opportunity to live with dignity, health, and hope. Are you an engaged, dynamic advocate passionate about health equity and public health? Join our multidisciplinary team in delivering low-barrier care to individuals experiencing homelessness. In the vital role of Community Health Worker, you will assist clients on campus and in outreach settings—helping them navigate complex care systems, secure public benefits, obtain critical identity documents, and access transitional and permanent housing. Operating from a client-centered, trauma-informed, and harm-reduction framework, you will provide short-term care coordination, facilitate health education, and connect individuals to long-term care networks. If you build rapport quickly, thrive in collaborative care teams, and want to advocate for systemic change, apply today to help make a lasting impact in our community!

Requirements

Experience in social services, behavioral health or health care setting
Ability to complete NM Community Health Worker Certification within 90 days (training provided)
Experience working with complicated and co-occurring medical issues
Valid NM driving license with clean driving record
Ability to work with large, multi-disciplinary teams
High school diploma or equivalent

Nice To Haves

Previous work with an EMR
Associate degree in Human Services or relevant field
1 year experience as CHW or Patient Care Coordinator
Experience with underserved, vulnerable populations
Bilingual Spanish/English
Experience working with those with mental illness or substance use disorder
Knowledge and understanding of harm reduction philosophy

Responsibilities

Clearly communicate with patients about their role in the patient’s care plan and the services available through them
Documents all encounters and contacts made on behalf of patients, including service plans and outcomes achieved by patients, into EHR within 72 hours
Completes and submits monthly reports; maintains comprehensive notes, release of information, assessments and other documents acquired on behalf of the client
Actively refer unengaged patients to Harm Reduction, Dental, Behavioral Health, and Case Management programs within AHCH
Assist patients in identifying socio-economic issues that affect their overall health and develop health/social management plans and goals
Communicate with benefit carriers about interventions provided to their members seeking services at the AHCH
Provide referrals and follow up services (care coordination)
Connect patients to community resources, including but not limited to locating, housing, food, clothing, education, life skills classes, and employment
Assist patients with finding community resources, scheduling appointments with social services agencies, and completing applications for benefits /programs for which they may be eligible, including Medicaid
Encourage and support patients to be active and engaged participants in their health and overall wellbeing
Works collaboratively and effectively within a team (medical/social services) and establishes positive, supportive relationships with staff and providers
Keep up to date on community resources
Must comply with all AHCH policies and procedures