Community Health Worker

Home Assist Health•Phoenix, AZ

50d•$21 - $23

About The Position

The Community Health Worker (CHW) supports children and adults at high risk who are living with chronic diseases through personalized, person-centered care planning. The CHW helps participants take an active role in managing their health, set and work toward meaningful goals, build self-management skills, and connect with resources that support their well-being and independence. The CHW builds individual and community capacity by increasing health knowledge and self-sufficiency, developing person-centered care plans, and monitoring interventions. The role serves as a liaison between clients and health and social services to facilitate access, support culturally responsive service delivery, and promote sustained health improvement. The position requires fluency in Spanish and English. Home Assist Health funds CHW certification training for employees who need certification and provides a company phone and mileage. The program emphasizes empowerment, cultural respect, health independence, and compassionate care. Work includes client onboarding, in-person home-based assessments and interventions, care coordination, health coaching, patient navigation, documentation, and support for transitions from hospital to home.

Requirements

High school diploma or equivalent.
Direct patient contact experience.
Fluent in Spanish and English, with native proficiency in Spanish; ability to read, write, and speak effectively in both languages.
Knowledge of care-plan development and strategy, including patient-centered care, habilitation, and ISP.
Ability to communicate professionally with health professionals at all levels.
Proficiency with Microsoft Outlook, Word, and Excel.
Proficiency in time management, organization, interviewing, and relationship-building.
Exceptional customer service skills.
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
Community Health Worker certification through an approved training program; certification may be obtained within one year of hire.
AHCCCS Direct Care Worker Training or current CNA.
DCW Developmental Disability training module.
Current CPR and First Aid certifications.
DPS Level 1 Fingerprint Clearance, or ability to obtain it within 90 days of hire; criminal background check required when applying for the clearance card.
APS Registry Check at hire and annually.
Notarized Criminal History Affidavit at hire and annually.
Reliable transportation and a current driver’s license.
Current automobile registration and automobile insurance.
Negative tuberculosis test result annually.
Ability to lift 50 pounds.
May need to stand, sit, or drive for extended periods.

Nice To Haves

Vocational training or healthcare-specific college experience, such as MA, CNA, or LPN experience.
Experience as a Community Health Worker, Medical Assistant, habilitation aide, or CNA.

Responsibilities

Represent Home Assist Health and uphold the company’s Mission, Vision and Purpose.
Welcome referred clients to the MyCare program and team, complete the referral process, conduct or coordinate intake, and schedule first visits.
Conduct in-person, home-based assessments, including environmental safety and fall-risk assessments and Social Determinants of Health assessments.
Develop and implement person-centered, home-based MyCare plans and interventions.
Monitor and report progress on MyCare plans and activities, and identify and recommend changes to plans and strategies to improve outcomes.
Document case-related notes, updates, and referrals in Home Assist Health systems.
Provide patient navigation support for health and social services, connect clients with community resources, and provide disease education materials.
Collaborate with the clinical team, clients, families, behavioral and general medical and dental providers, community resources, and others to coordinate and implement care-plan services.
Provide health coaching, education, and skill-building to improve self-management of health and social needs.
Triage phone calls and referrals and conduct home visits to support transitions from hospital to home, discharge plans, medication review, appointment adherence, and social determinants of health.
Enter patient service schedules and ensure services are billed according to current practices and procedures.
Advocate for clients and help them obtain resources that improve their well-being.
Assist with other duties as assigned.