Community Health Worker

CVS Health•Work At Home-Louisiana, LA

5d•$19 - $32•Onsite

About The Position

The Community Health Worker (CHW) serves as a link between members, healthcare providers, and community resources. Working under the direction of a designated healthcare professional, the CHW supports members in achieving improved health outcomes by addressing social determinants of health, promoting member engagement, reinforcing care plans, and facilitating access to healthcare and community services. The position is primarily field-based and involves extensive travel within the assigned service area. The CHW conducts member outreach and home visits, supports care coordination, provides health education and advocacy, connects members with community resources, collaborates with providers and interdisciplinary partners, and documents interactions and interventions in electronic health record systems. The role requires strong case management, communication, customer service, and organizational skills, as well as the ability to work independently and meet productivity, quality, and compliance standards. The schedule is variable and includes two evenings per week until 9:00 PM local time, based on member needs.

Requirements

High school diploma or GED.
Minimum of 3–5 years of relevant healthcare, social services, care coordination, or case management experience.
Minimum of 1–2 years of experience providing clinical support services.
At least 1 year of community outreach experience and knowledge of Louisiana community resources.
At least 1 year of experience working with individuals with physical and/or behavioral health needs.
Strong case management and care coordination skills.
Excellent customer service orientation and problem-solving abilities.
Exceptional verbal, written, and telephonic communication skills.
Demonstrated motivational interviewing skills and ability to build rapport and trust with members.
Strong documentation skills and commitment to compliance and regulatory standards.
Ability to work independently, remain self-motivated, and manage competing priorities.
Excellent organizational and time management skills.
Ability to achieve productivity and quality performance metrics.
Proficiency with Microsoft Office applications, Microsoft Teams, Outlook, and electronic health record systems.
Flexibility to work variable schedules, including two evenings per week until 9:00 PM local time, based on member needs.
Ability to travel extensively within the assigned geographic service area.

Nice To Haves

Previous experience working within a Managed Care Organization (MCO) or related healthcare setting.
Community Health Worker (CHW) certification.
Experience serving Medicaid populations in urban and rural environments.
Knowledge of local formal and informal community resource networks.
Experience in community-based, outpatient, public health, behavioral health, or social services settings.
Training or certification in Motivational Interviewing, Mental Health First Aid, Trauma-Informed Care, HIPAA Compliance, C.L.A.S. Standards, or Medical Terminology.
Bilingual language skills in Spanish or French.

Responsibilities

Conduct home visits with members to reinforce care plans and encourage healthy behaviors.
Help members identify healthcare and social needs that affect their well-being.
Support care plan implementation and collaborate with care management teams to address member needs.
Develop individualized strategies to improve member engagement and health outcomes.
Assist members with transportation arrangements and referrals to community resources.
Educate members on disease self-management, including nutrition, symptom monitoring, medication adherence, and preventive care.
Review medications with members and assist in obtaining refills when appropriate.
Promote understanding of treatment plans and encourage members to participate in healthcare decisions.
Advocate for members and help reduce cultural, linguistic, socioeconomic, and healthcare access barriers.
Connect members with social service agencies, community organizations, and support programs.
Assist members with completing applications for eligible services and benefits.
Identify gaps in community resources and opportunities to improve local systems of care.
Maintain knowledge of local community resources and support networks.
Build and maintain positive relationships with members, providers, nurse case managers, caregivers, community agencies, and internal partners.
Educate providers and community organizations about social determinants of health and their impact on member outcomes.
Collaborate with interdisciplinary teams to coordinate care and resolve member barriers.
Document member interactions, assessments, and interventions accurately in electronic health record systems.
Complete progress notes, reports, care coordination activities, and other required documentation promptly and in compliance with regulatory standards.
Adhere to HIPAA requirements, organizational policies, and applicable regulatory guidelines.
Meet established productivity, quality, and performance metrics.