Community Health Worker

UMass Memorial HealthMilford, MA
$38,064 - $68,515Onsite

About The Position

The Community Health Worker (CHW) collaborates with the care team to improve the system of care for high-risk patients. They advocate for patients, helping them navigate health, mental health, and community services to ensure they receive comprehensive support. The CHW may carry a caseload independently or in partnership with RN/SW Care Managers, assisting with access to state and community resources, coordinating services, and supporting families with behavioral health needs.

Requirements

  • Associate’s Degree, BSW, BEd, or relevant community experience.
  • 1–2 years of experience with patients managing complex medical and behavioral health issues.
  • Experience navigating behavioral health systems.
  • Strong communication, organizational, and time management skills.
  • Ability to work independently and collaboratively.
  • Competence in virtual platforms and EMR systems.

Nice To Haves

  • Experience as a CHW, peer specialist, peer advocate, or LCSW.
  • Experience with electronic medical records and virtual visits.

Responsibilities

  • Collaborate with iCMP RN/SW to manage caseloads and build team capacity.
  • Support patients in self-advocacy and community engagement.
  • Map and share community resources such as housing, food, and shelter.
  • Connect families with services and track referrals.
  • Assist with applications for MassHealth, DTA, DDS, DMH, and other state programs.
  • Coordinate services for children with Autism and behavioral health needs.
  • Locate mental health providers and ensure appropriate referrals.
  • Attend educational and mental health service meetings with families.
  • Provide peer support and cultural mediation.
  • Deliver culturally appropriate health education.
  • Conduct follow-up calls, virtual visits, and home visits as needed.
  • Help patients organize records and schedule follow-up appointments.
  • Document encounters in the EMR per MRPG/MGB workflows.
  • Meet documentation and performance timelines (e.g., PDA within 48 hours of discharge).
  • Maintain and update the MRPG Resource Database.
  • Attend supervision and team meetings regularly.
  • Develop strong working relationships with care team members.

Benefits

  • This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
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