Community Health Navigator – Remote with Travel

CVS Health; Morgantown (WV); Remote; USD 25,000 - 44,000; Full time

Job summary

CVS Health is hiring a Community Health Worker (CHW) to join a field telework team serving West Virginia’s Medicaid population. The role involves home visits, care coordination, and outreach to connect members with providers and community resources.

Qualified candidates will have a high school diploma, 2+ years in health/social services, and complete a CHW certification within 12 months. Travel is extensive and mileage is reimbursed; remote work aligns with state residency requirements.

Qualifications

• High School Diploma /G.E.D. or higher.
• 2+ years relevant experience (i.e. healthcare, community-based, social services, case management, etc.).
• Complete an approved CHW certification program within 12 months of hire.
• Demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
• Must possess reliable transportation, valid/active driver's license, and proof of vehicle insurance with ability to travel up to 70% of the time to various locations within the region using personal vehicle.

Responsibilities

• Conduct home visits with Aetna members to assist with needs, including locating community resources, scheduling appointments, completing applications for eligible programs, arranging transportation, and educating on services, medications, conditions, etc.
• Complete telephonic and/or email outreach to members, agencies, care providers, community organizations, etc. regarding member needs and care
• Collaborate with care team participants, including but not limited to care manager, department workers, legal or custodial guardians if applicable, healthcare providers, community partners, etc.
• Assess any gaps in care or social determinants of health that may be impeding care or overall well‑being and formulate interventions to address any identified areas of need
• Connect with various community organizations and partners regarding resource availability and eligibility to support member needs
• Demonstrate flexibility to work in situations where working conditions or environments are unknown, as member homes and situations may vary
• Document all member outreach and care coordination in electronic health record system in accordance with market processes and maintain the member record to ensure compliance
• Maintain member confidentiality and protected health information (PHI) according to HIPAA policies and company guidelines
• Work independently to organize, problem‑solve, and prioritize tasks to meet deliverables, deadlines, and expectations
• Utilize strong interpersonal and communication skills that allow for work with individuals of diverse cultural and socioeconomic backgrounds
• Travel extensively (70% of the time or more via personal vehicle) to member homes, community locations, various agencies, etc. as indicated
• Other responsibilities as indicated

Skills

MS Office Suite

Interpersonal communication

Education

High School Diploma /G.E.D.

Tools

MS Office Suite

EHR systems

Job description

CVS Health is hiring a Community Health Worker (CHW) to join a field telework team serving West Virginia’s Medicaid population. The role involves home visits, care coordination, and outreach to connect members with providers and community resources.

Qualified candidates will have a high school diploma, 2+ years in health/social services, and complete a CHW certification within 12 months. Travel is extensive and mileage is reimbursed; remote work aligns with state residency requirements.