Community Health Worker

8350 Oak Street Health MSO LLC; Fort Wayne (IN); On-site; USD 26,000 - 44,000; Full time

Benefits offered by this job

Comprehensive benefits

Competitive pay

Job summary

Oak Street Health is seeking a Community Health Worker in Fort Wayne, IN to bridge patients, families, and medical systems by promoting health literacy and access to community resources. The CHW advocates for patients, conducts outreach, and supports care teams to remove barriers to care and wellness.

The role requires strong communication, flexibility, problem-solving, and knowledge of the local community.

Qualifications

• Minimum 1 year of experience in healthcare, community-based, case management, or social service environment
• Strong oral and written communication skills
• Ability to manage multiple priorities while maintaining a positive attitude
• Dedication to serving the community and building meaningful relationships
• Access to reliable transportation and ability to travel throughout the community

Responsibilities

• Establish and maintain relationships with patients, community organizations, team members, and partners to coordinate patient needs
• Manage patient referrals defined by the care team & collaborate with the Medical Social Worker on action plan
• Facilitate communication between all identified parties involved in patients’ care as needed (e.g., family members, caregivers, medical providers, community-based organizations)
• Form relationships with and build an inventory of local community organizations that may benefit our patients
• Connect patients to state and local community resources related to housing, transportation, food, and activities of daily living among other social and physical barriers to health.
• Assist patients with completion of applications for accessing eligible benefits and resources
• Promote goal setting and achievement to improve patients’ quality of life and self efficacy with patients. Goal definitions are agreed upon by the care team
• Meet with patients in patient-centered and patient-preferred locations (e.g., Oak Street Health center, patient’s home, external medical provider facility, community setting)
• Community Health Workers should plan to spend about half of their time outside of the center in patient-centered locations; this means having access to a reliable means of transportation to do so is required
• Drive engagement with high risk individuals (e.g., completed specialty appointments, adherence to Post Discharge Visits) may include accompaniment to appointments
• Complete referrals to organizations and agencies as needed
• Deliver culturally appropriate health education in the areas where OSH has provided competency training to the CHW
• Support care team decision making through participation in interdisciplinary team meetings
• Document interactions with patients in electronic medical record in a timely manner while maintaining HIPAA standards and confidentiality of protected health information
• Manage time, set priorities, work independently, and collaborate effectively with an interdisciplinary medical team
• Other duties as assigned

Skills

Oral and written communication

Multitasking

Transportation access

US work authorization

Computer skills

Community outreach

Education

CHW certificate or related degree preferred

Associates or Bachelors in related field

Job description

Title: Community Health Worker

Company: Oak Street Health

Role Description

The purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient’s advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High levels of flexibility, problem solving, strong communication, and an intimate knowledge of the community served are required to be successful. CHWs work closely with Medical Social Workers to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. CHWs are expected to work within their scope of practice. There is no expected clinical license for this position.

Core Responsibilities

• Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs
• Manage patient referrals defined by the care team & collaborate with the Medical Social Worker on action plan
• Facilitate communication between all identified parties involved in patients’ care as needed (e.g., family members, caregivers, medical providers, community-based organizations)
• Form relationships with and build an inventory of local community organizations that may benefit our patients
• Connect patients to state and local community resources related to housing, transportation, food, and activities of daily living among other social and physical barriers to health.
• Assist patients with completion of applications for accessing eligible benefits and resources
• Promote goal setting and achievement to improve patients’ quality of life and self efficacy with patients. Goal definitions are agreed upon by the care team
• Meet with patients in patient-centered and patient-preferred locations (e.g., Oak Street Health center, patient’s home, external medical provider facility, community setting)
• Community Health Workers should plan to spend about half of their time outside of the center in patient-centered locations; this means having access to a reliable means of transportation to do so is required
• Drive engagement with high risk individuals (e.g., completed specialty appointments, adherence to Post Discharge Visits) may include accompaniment to appointments
• Complete referrals to organizations and agencies as needed
• Deliver culturally appropriate health education in the areas where OSH has provided competency training to the CHW
• Support care team decision making through participation in interdisciplinary team meetings
• Document interactions with patients in electronic medical record in a timely manner while maintaining HIPAA standards and confidentiality of protected health information
• Manage time, set priorities, work independently, and collaborate effectively with an interdisciplinary medical team
• Other duties as assigned

What we’re looking for

Required

• Minimum of 1 year of experience in healthcare, community-based, case management, or social service environment
• Strong oral and written communication skills
• Ability to manage multiple priorities while maintaining a positive attitude
• Dedication to serving the community and building meaningful relationships
• Proficient computer skills (i.e. Windows, GSuite, Microsoft, etc.)
• Access to reliable transportation and ability to travel throughout the community to various locations
• US work authorization

Strongly Preferred

• Fluency in language that is commonly spoken in the community when necessary. Most often this will include Bilingual English/Spanish
• Experience working on multidisciplinary teams with organizations, agencies, patients, and community members
• Knowledge of community resources and resource navigation

Preferred

• Community Health Worker certification or Associates or Bachelors in a related field is a plus
• Experience utilizing electronic medical record systems
• A problem-solving orientation and a flexible and positive attitude

Anticipated Weekly Hours 40 Time Type Full time

Pay Range

The typical pay range for this role is: $18.50 - $31.72 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 03/17/2027

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.