Community Health Worker Jobs

About The Position

Requirements

• High School diploma required with a combination of training and skills to effectively carry out responsibilities and assignments (such as previous experience working with patients in a community-based setting).
• Must have Certification in Community Health Work or be working toward certification, must obtain certification within 12 months.
• Experience working with primary care providers or in other healthcare settings.
• The ability to travel to various locations in the state and reliable transportation is required.
• Must possess a valid, current state-issued driver’s license, have reliable transportation and proof of current auto insurance required.

Nice To Haves

• Associates or Bachelor’s degree in Social Work, Community/Public Health or related health sciences field.
• Experience working with patients regarding managing their health, navigating systems, providing care coordination and health coaching.
• Ability to speak a second language, Spanish preferred.

Responsibilities

• Assist Integra In-Home patients in securing community resources identified through SDOH screening and in-home assessment.
• Act as a liaison between the patient and community resources.
• Perform SDOH screening and assessment of patients' needs to remain in the community.
• Assist with the management of newly implemented chronic condition disease management programs for BCBS members.
• Assess patient needs, offer community resources and referrals, provide navigation, support, care coordination, and ongoing case management.
• Visit patients in their homes and communities, providing culturally sensitive health information to improve health literacy.
• Facilitate patient decision-making and self-management to help patients engage in their overall health and achieve their health goals.
• Track patient-related activities, monitor, and document progress.
• Collaborate with the primary care team to promote patient-centered care and participate in multidisciplinary patient-centered team meetings.
• Maintain frequent contact with community agencies on behalf of patients, networking and collaborating on resource identification to improve overall population health.