Community Health Worker (CHW)

Jordan Valley Health•Springfield, MO

15h

About The Position

The Community Health Worker (CHW) advances Jordan Valley Health’s mission 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, and determining and issuing Presumptive Eligibility (PE) for Medicaid in accordance with HRSA, state Medicaid, and organizational requirements. The CHW also connects patients with community resources and supports the health center’s enabling services model and patient-centered medical home approach. The position provides patient-centered, culturally competent education and support; assists patients with healthcare services, insurance, and community resources; and advocates for timely access to medical, dental, behavioral health, and enabling services. The CHW may follow up through home visits, meetings in community settings, or phone communication. The role collaborates with registration, billing, care teams, case management, leadership, and community partners. The CHW screens patients for SFS eligibility, determines discounts based on income and household size, explains program requirements and renewals, and maintains complete, accurate, audit-ready documentation. The role assists with Medicaid applications, renewals, and changes; determines and issues Medicaid PE; explains eligibility decisions and coverage timelines; and tracks applications to support continuity of care. The CHW maintains accurate documentation in the EHR and eligibility systems, meets individual productivity goals and KPIs, supports grant-funded initiatives, and participates in outreach, enrollment, audits, quality assurance, and compliance reviews. The position requires compliance with HRSA, Medicaid, FQHC, HIPAA, privacy, and clinic exposure-control requirements.

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.
Employees must provide proof of vaccination for Flu, Hepatitis B, and Tuberculosis (TB).

Nice To Haves

Associate degree preferred.
Community Health Worker certification preferred.
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, including through PRAPARE.
Advocate for timely access to medical, dental, behavioral health, and enabling services.
Follow up on appointments or healthcare-team instructions through home visits, community meetings, and/or phone communication.
Build professional relationships with local community partners, healthcare providers, and social service providers.
Screen patients for Sliding Fee Scale eligibility and determine and issue 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 with colleagues and contribute to organizational goals and objectives.
Meet agreed-upon goals, monthly productivity goals, and management-determined KPIs.
Maintain timely, accurate documentation in the electronic health record and eligibility systems.
Comply with HRSA, Medicaid, FQHC, HIPAA, and organizational privacy requirements.
Participate in internal audits, quality assurance activities, and compliance reviews as required.
Stay current on Medicaid, Presumptive Eligibility, and Sliding Fee Scale regulatory changes.
Follow clinic exposure-control plans and bloodborne and airborne pathogen protocols.
Maintain a respectful, professional, responsible, and courteous environment for patients, families, visitors, and coworkers.
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 external 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

Medical and prescription drug coverage with three plan options through UnitedHealthcare’s Choice Plus network.
Telemedicine services through Teladoc.
Health Savings Account for employees enrolled in the High Deductible Plan, with employer contributions.
Healthcare and dependent care Flexible Spending Accounts.
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 optional additional coverage.
Long-term and short-term disability insurance.
Free confidential Employee Assistance Program support, including counseling and crisis intervention.
Voluntary critical illness, accident, hospital care, and pet insurance through MetLife.
Pay on Demand available.
Nine paid holidays per year.