Community Health Worker - Pediatrics and Obstetrics

CommUnityCare Health Centers•Austin, TX

19d

About The Position

The Community Health Worker (CHW) – Pediatrics and Obstetrics delivers patient-centered care coordination for individuals requiring specialized services, in partnership with patients, their families as defined by the patient, and multidisciplinary teams. The CHW works closely with patients, parents or guardians, caregivers, healthcare providers, educational systems, and interdisciplinary teams to provide comprehensive, integrated, and compassionate care. The role includes direct patient engagement through telehealth and in-person appointments in clinics, community spaces, schools, and other locations according to program guidelines. The CHW helps patients and families navigate care and community resources, supports their participation in care management, monitors biopsychosocial needs, coordinates referrals and transitions, and maintains accurate records. The CHW also contributes to team meetings, professional development, quality improvement, regulatory compliance, and community partnerships.

Requirements

High school diploma or equivalent; a higher degree is accepted.
At least 3 years of experience working in a community health setting in a healthcare role or community-based human service agency as a Community Health Worker, health educator, community outreach worker, or community organizer.
Texas Certified Community Health Worker certification upon hire.
Case Management for Children and Pregnant Women (CPW) certification through Texas Health and Human Services within 30 days.
Valid Texas driver’s license upon hire.
Strong problem-solving abilities.
Exceptional attention to detail and accuracy in documentation, patient care, and task execution.
Excellent verbal and written communication skills.
Ability to deliver high-quality CHW services aligned with professional standards and ethical guidelines.
Ability to manage multiple CHW responsibilities while maintaining efficiency and quality.
Experience in direct client engagement, including advocacy and coordination of community resources.
Competence with healthcare technologies and systems, including electronic medical records, patient documentation platforms, and standard office software such as spreadsheets and word processing.

Responsibilities

Interact with patients through telehealth and in-person appointments at clinics, community spaces, schools, and other locations according to program guidelines.
Serve as a point of contact for patients enrolling in services.
Collaborate with patients, parents or guardians, caregivers, medical providers, school systems, and interdisciplinary healthcare teams on patient-centered care.
Advocate for patients and families to help ensure services meet their needs and resources are used appropriately.
Empower patients and families to participate actively in their care management.
Conduct outreach and engagement to identify social and community needs affecting patients’ health and well-being.
Help patients and families set achievable goals and support progress through regular follow-up and encouragement.
Monitor patients’ biopsychosocial needs and provide timely follow-up according to program protocols to support continuity of care.
Coordinate transitions between care sites and providers.
Coordinate and streamline referrals to appropriate community-based services.
Deliver direct CHW care in accordance with program protocols and established standards of practice.
Complete documentation related to direct and indirect patient care accurately and promptly, keeping medical records thorough and up to date.
Participate in daily unit-based patient care huddles, clinic-wide informational meetings, patient conferences, and planning sessions.
Participate in professional development and educational sessions, maintain required certifications, and stay current with field best practices.
Participate in implementing and evaluating quality improvement strategies, supporting evidence-based standards and identifying opportunities to improve outcomes and care delivery.
Ensure patient care tasks and related administrative processes comply with regulatory and accreditation standards, including The Joint Commission and CommUnityCare policies and procedures.
Build and maintain positive working relationships and partnerships across departments, communicating effectively with the care team.
Engage respectfully and collaboratively with patients and families using a trauma-informed approach.
Participate in community events and maintain partnerships to promote awareness of health and social services, as assigned by the supervisor.
Perform other duties as needed to support the organization’s vision, mission, and values.