Community Health Worker (CHW)

Jordan Valley Health•Springfield, MO

About The Position

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. It provides primary medical, dental, vision, and behavioral health services, with a mission to improve community health through access and relationships. The Community Health Worker (CHW) advances the mission of the Federally Qualified Health Center by improving access to care, addressing social determinants of health, reducing barriers, and helping patients navigate healthcare and social services. The CHW serves as a trusted liaison between patients, the health center, and community resources. The role includes determining and issuing Sliding Fee Scale (SFS) discounts, assisting with Medicaid applications, determining and issuing Presumptive Eligibility (PE) for Medicaid in compliance with HRSA, state Medicaid, and organizational requirements, and connecting patients with community resources.

Requirements

Ability to pass additional background screenings for work with youth and senior services.
Authorization or certification to determine Presumptive Eligibility for Medicaid, or ability to obtain it within the required timeframe.
One year of experience in a healthcare setting.
BLS certification and First Aid certificate required within 90 days of hire.
All employees must provide proof of vaccination for Flu, Hepatitis B, and Tuberculosis (TB).

Nice To Haves

Associate degree.
Community Health Worker certification.
Valid driver’s license.
Previous experience in an FQHC, community clinic, or safety-net healthcare setting.
EPIC or other electronic health record experience.
Knowledge of HRSA requirements, Sliding Fee Scale guidelines, and Medicaid programs.
Bilingual or multilingual skills.
Experience addressing social determinants of health.

Responsibilities

Provide patient-centered, culturally competent education and support to individuals and families.
Help patients navigate healthcare services, insurance coverage, and community resources.
Identify and address social determinants of health that may affect access to care, including through PRAPARE.
Advocate for timely patient access to medical, dental, behavioral health, and enabling services.
Follow up on healthcare team appointments or instructions through home visits, community meetings, or phone communication.
Build relationships and interact professionally with local community partners, health providers, and social service providers.
Screen patients for Sliding Fee Scale eligibility in accordance with HRSA and organizational policies.
Determine and issue Sliding Fee Scale discounts based on income and household size.
Educate patients about the Sliding Fee Scale program, eligibility requirements, and renewal processes.
Maintain complete, accurate, audit-ready documentation supporting Sliding Fee Scale determinations.
Assist patients with Medicaid applications, renewals, and changes, including gathering required documentation.
Determine and issue Presumptive Eligibility for Medicaid in compliance with state and federal guidelines.
Explain eligibility determinations, coverage timelines, and next steps to patients.
Track and follow up on applications to support continuity of care and coverage.
Work collaboratively as part of a team to support organizational goals and objectives.
Meet agreed-upon goals and objectives within specified time frames, including monthly individual productivity goals and management-determined KPIs.
Maintain accurate, timely documentation in the electronic health record and eligibility systems.
Ensure compliance with HRSA, Medicaid, and FQHC regulatory requirements, HIPAA, and organizational privacy policies.
Participate in internal audits, quality assurance activities, and compliance reviews as required.
Stay current on changes to Medicaid, Presumptive Eligibility, and Sliding Fee Scale regulations.
Follow Clinic Exposure Control Plans, including Bloodborne and Airborne Pathogens protocols.
Treat patients, families, visitors, and coworkers with respect and maintain a professional, responsible, and courteous environment.
Provide metrics as needed for grant-funded initiatives.
Collaborate with registration, billing, care teams, case management, and leadership to support patient access.
Refer patients to internal programs and community resources, including housing, food assistance, transportation, and social services.
Participate in outreach events, enrollment activities, and community engagement efforts as needed.
Support the health center’s enabling services model and patient-centered medical home approach.
Perform other duties as assigned.

Benefits

Three medical and prescription drug plan options through UnitedHealthcare’s Choice Plus network, with access to Teladoc telemedicine services.
Health Savings Account for employees in the High Deductible Plan, including employer contributions and tax advantages.
Healthcare and dependent care Flexible Spending Account options.
Dental insurance through Cigna’s DPPO network.
Vision coverage through EyeMed’s Insight network.
Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
Basic Life and AD&D insurance at no cost, with the option to purchase additional coverage.
Long-term and short-term disability insurance.
Free Employee Assistance Program offering confidential support, including counseling and crisis intervention.
Voluntary critical illness, accident, hospital care, and pet insurance through MetLife.
Pay on demand.
Nine paid holidays per year.