Community Health Worker- Field Middlesex County and Surrounding Area, NJ

CVS Health•East Brunswick, NJ

3d•$19 - $39•Onsite

About The Position

The Community Health Worker (CHW) will support a pilot program designed to address health disparities, improve outcomes, and reduce avoidable utilization among Medicaid members with Type 2 diabetes. The role focuses on addressing high diabetes prevalence and social determinants of health (SDoH) risks in targeted counties. The CHW engages directly with members to improve self-management, access to care and community resources, and overall health outcomes through culturally appropriate, community-based interventions. The CHW serves as a liaison among members, the care management team, providers, and community resources. The position focuses on improving member experience, increasing primary care engagement, and reducing emergency department and inpatient utilization. The role is field-based in Middlesex County and surrounding areas, with field work at least 75% of the time, and follows a Monday–Friday schedule from 8:00 a.m. to 5:00 p.m. EST.

Requirements

Experience working in community health, social services, care management, or a related field.
Experience engaging with underserved or high-risk populations.
Strong communication, interpersonal, and engagement skills.
Ability to build trust and maintain relationships with diverse populations.
Knowledge of community resources and SDoH-related services.
Ability to manage a caseload and document activities accurately.
Must live in Middlesex County or nearby.
Community Health Worker (CHW) Certification from the NJ Department of Health, or must obtain it within 12 months of employment.
High school diploma or equivalent required.

Nice To Haves

Lived experience or prior work supporting individuals with Type 2 diabetes or chronic conditions.
Experience working within Medicaid or managed care environments.
Bilingual or multilingual skills aligned with the community served.
Familiarity with care management systems and electronic health records.
Knowledge of motivational interviewing, cultural competency, and trauma-informed care practices.
Associate’s or Bachelor’s degree in Public Health, Social Work, or a related field preferred.

Responsibilities

Conduct telephonic, virtual, and face-to-face outreach and engagement with assigned members.
Maintain an active caseload of approximately up to 30 members, with engagement duration based on member needs.
Complete required screenings and assessments, including initial engagement and health equity screeners, within required timeframes.
Develop and implement individualized action plans in collaboration with members and interdisciplinary care teams.
Provide education and support related to Type 2 diabetes management, including medication adherence, nutrition, physical activity, and lifestyle behaviors.
Identify and address gaps in care, supporting members in completing recommended preventive and follow-up services.
Connect members to community-based resources addressing SDoH needs, such as food, housing, and transportation, and ensure closed-loop referral follow-up.
Assist members in navigating healthcare services, including scheduling and attending primary and specialty care appointments.
Participate in interdisciplinary team meetings and case rounds to support care coordination.
Document member interactions, outreach attempts, and interventions in designated systems in accordance with program requirements.
Support member engagement in pilot initiatives and services, including education programs, community events, and resource utilization.
Promote positive member relationships and culturally competent care aligned with community needs.