Community Health Navigator – Field Outreach & Resources

AbsoluteCARE Medical Center & Pharmacy; Cleveland (OH); On-site; USD 40,000 - 50,000; Full time

Job summary

AbsoluteCare Medical Center & Pharmacy in Cleveland, OH seeks a Community Health Worker to connect members with resources, address social needs, and support enrollment in services. This role involves visiting members at home and in the community to assess needs and build trust.

You will document outreach in Jiva, eCW, and CRM systems, and collaborate with the care team to meet engagement and enrollment targets. This is a field-based, full-time position.

Qualifications

• High school diploma or equivalent is required.
• Must have a valid driver’s license, proof of insurance, and reliable personal vehicle.
• 2+ years of experience working with community agencies providing health care-related services.
• CPR/BLS certification required.
• Certified as a Community Health Worker prior to employment.
• Experience engaging vulnerable, hard-to-engage populations.
• Proficient in PC skills, such as Microsoft Office.
• Ability to travel locally at a minimum of 80% of the time.
• Knowledge and trusting relationships within the local community.

Responsibilities

• Effectively represent AbsoluteCare, and communicate how ABC’s services, programs, and resources, including ABC’s PCP clinical care model—can help in the member’s specific situation.
• Conduct in-person non-clinical assessments to understand member needs, preferences, and barriers to care, including social determinants of health (SDOH), and evaluate the home environment as needed.
• Create and administer individualized care plans for members, incorporating clinical team input when addressing clinical needs.
• Effectively and efficiently connect members with appropriate AbsoluteCare and community resources such as mental health, substance abuse, housing support, transportation, clothing, food, and other basic needs.
• Authentically build trust and rapport with members, their support systems, and communities to drive engagement.
• Manage a caseload of members, identifying and addressing member needs, enrolling members in appropriate services, and ensuring follow-through on care plans and connections to community and clinical resources.
• Partner with care team (community PCPs, specialists, and internal staff), including attending daily huddles and team meetings, prioritizing members, caseload, and align around actions.
• Document daily outreach activities into care management platforms (e.g., Jiva), electronic health records (e.g., eCW), and CRM systems.
• Meet predefined metrics and KPIs for successful member engagement, social needs resolution, and member enrollment into programs and services
• Support members within the Member Lounge with events.

Skills

Community outreach

Microsoft Office

Self-starter

Driving

communication skills

Education

High school diploma or equivalent

Tools

Jiva

eCW

CRM systems

Job description

AbsoluteCare Medical Center & Pharmacy in Cleveland, OH seeks a Community Health Worker to connect members with resources, address social needs, and support enrollment in services. This role involves visiting members at home and in the community to assess needs and build trust.

You will document outreach in Jiva, eCW, and CRM systems, and collaborate with the care team to meet engagement and enrollment targets. This is a field-based, full-time position.