Community Health Worker, Float Pool (Part-Time)
About The Position
The Community Health Worker (CHW) is an integral member of the care management team and supports individuals living with complex and/or chronic conditions, including people facing barriers to accessing care. The role adapts to members’ needs and may provide support by phone or in person in settings such as the community, a member’s home, a facility, or a health center. This hybrid position is primarily remote and covers CHW care management vacancies at C3-affiliated Federally Qualified Health Centers (FQHCs) and provider groups. The CHW works under the guidance of a Licensed Care Manager or program leaders and supports members in achieving personal and clinical goals through outreach, care coordination, referrals, community resources, and assistance accessing health and social services. The position requires travel throughout an assigned area and may require covering other areas in person or by telephone.
Requirements
- Minimum 2–5 years of experience as a Community Health Worker, Medical Assistant, Engagement Specialist, Care Coordinator, or Care Advocate.
- Demonstrated success working as part of a multidisciplinary team, including communicating and working with providers, nurses, social workers, and other health care teams.
- Experience working with patients with chronic medical and behavioral health needs.
- Flexibility and adaptability to change.
- Ability to work independently.
- Excellent interpersonal communication skills.
- Experience using computers and other appropriate technology for work-based communication according to organizational requirements.
- Proficiency with Microsoft Office and online record keeping.
- Ability to remain in a stationary position 50–75% of the time.
- Ability to balance more than one health center assignment at a time.
- Ability to manage multiple EHRs for clinical documentation.
- Valid driver’s license and access to a working vehicle.
- Employees must be vaccinated in accordance with applicable law and the stated infection-control practices.
Nice To Haves
- Experience within the Medicaid ACO member population.
- Bi/multilingual skills or experience with Language Translation Services.
- Familiarity with the MassHealth ACO program.
- Familiarity with Federally Qualified Health Centers.
- Experience with anti-racism activities and/or lived experience with racism.
- Enthusiasm and passion for helping patients, a genuine, kind, and empathetic nature, and a flexible, adaptable approach.
Responsibilities
- Work under the guidance of the Licensed Care Manager or program leaders.
- Conduct initial outreach calls to encourage members, representatives, and caregivers to participate in care management programs.
- Develop and implement outreach plans with team colleagues based on individual, family, and community needs, strengths, and resources.
- Identify and share information, referrals, and resources to help individuals, families, groups, and primary care teams meet their needs.
- Gather and combine information from different sources to understand clients, their families, and communities.
- Build and sustain trusting relationships with individuals, families, social networks, and primary care teams.
- Use varied outreach methods to engage individuals and groups in diverse settings.
- Share community assessment results with colleagues and community partners to inform planning and health improvement efforts.
- Serve as a cultural mediator by supporting providers in working with clients from diverse cultures and helping clients interact effectively with professionals.
- Coach and guide members toward personal and clinical goals.
- Assist members with scheduling appointments.
- Work with individuals, families, community members, Care Managers, and primary care teams to address barriers to healthy behavior, including completing Social Drivers of Health screenings and obtaining member support.
- Provide care coordination, including facilitating care transitions, supporting referrals, and providing or confirming appropriate follow-up.
- Help members access community and government service agencies, including completing paperwork.
- Help teach members and caregivers about symptom response plans.
- Participate in integrated care team meetings and rounds as required.
- Meet reporting, record-keeping, and documentation requirements.
- Use appropriate technology, including computers, for work communications in accordance with C3 and health center requirements.
- Create and maintain an inventory of local community resources and connect patients with appropriate support services.
- Establish relationships with community agencies, resources, and supports relevant to a Medicaid population.
- Assist with Medicaid applications, food and nutrition benefits, housing applications, and transportation coordination.
- Travel throughout the assigned area and engage members at homes, hospitals, and community locations, or accompany members to appointments as appropriate.
- Cover other areas in person or by telephone as needed.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
No Education Listed
