Community Health Worker

COPE Health Solutions; Sacramento (CA); On-site; USD 54,000 - 62,000; Full time

Benefits offered by this job

Comprehensive health insurance

Yearly wellness stipend

Paid parental leave

Professional development opportunities

Job summary

COPE Health Solutions is seeking a Community Health Worker (CHW) to help patients and families navigate community services, enroll in ECM, and support care management. You will liaise between members, providers, and services, promoting health and self-care while addressing social determinants of health.

The role emphasizes field outreach, clinic/home visits, and collaboration with the care team to implement individualized care plans. Spanish-English bilingualism is preferred.

Qualifications

• Must have valid California driver’s license.
• High school graduate; associate degree preferred.
• CHW training completion preferred.
• Fluency in English and Spanish preferred.
• Experience in multicultural settings.
• 1–2 years community-based work preferred.
• Basic computer skills; EMR experience preferred.
• Excellent communication and listening skills.

Responsibilities

• Educate members about ECM services and enroll them.
• Assist members to navigate health care system and improve self-care.
• Establish trusting relationships with patients and families.
• Provide follow-up, motivational interviewing, and goal setting.
• Bridge conversations and remove barriers to services; conduct outreach.
• Meet members in clinic, facility, or home to assess social determinants.
• Collaborate with care team to develop individualized care plans.
• Facilitate access to health-related services and transportation.
• Document interactions in EMR within 24 hours.
• Manage assigned caseload and maintain HIPAA compliance.

Skills

Fluency in English & Spanish

Good communication skills

Empathy and motivational interviewing

Education

High school diploma or equivalent

Associate's degree preferred

CHW training completion preferred

Tools

EMR system experience

Job description

The Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs.

Job Details

• FLSA Status: Non-Exempt
• Salary Range: $26.00 - $30.00 per hour
• Reports To: Licensed Clinical Social Worker
• Direct Reports: None
• Location: Sacramento, CA
• Travel: Up to 80%
• Work Type: Regular
• Schedule: Full-Time (40 hours)
• Schedule: Part-Time (20 hours)

Position Description

• Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need.
• Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management.
• Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with patients/families.
• Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure.
• Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well-being.
• Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member.
• Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
• Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed.
• Documents interactions with members and on behalf of members in medical record.
• Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
• Help patients set personal health related goals and attend appointments.
• Provide referrals for services to community agencies as appropriate.
• Help patients connect with transportation resources and provide appointment reminders in special circumstances.
• Exhibit excellent working relations with patients, visitors and staff.
• Effectively communicating CHS’ mission.
• Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
• Work collaboratively with other clinical personnel assigned to the same patient.
• Knowledgeable about community resources appropriate to needs of patients/families.
• Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
• Act as a patient advocate and liaison between the patient/family and community service agencies.
• Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
• Manage assigned caseload of patients.
• Always maintain HIPPA compliance.

Competencies

• Good organizational skills to handle multiple priorities while remaining professional and calm.
• Ability to work with many diverse people, including children and teenagers.
• Effective telephone skills.
• Strong level of confidentiality due to the sensitivity of materials and information handled.
• Ability to make suggestions on workflow or system efficiency and effectiveness.
• Ability to work independently and be self-directed and flexible.
• Ability to prioritize.
• Ability to perform functions with minimal supervision.
• Ability to work at a high-volume level of accuracy.

Position Expectations

• Be committed to the mission of COPE Health Solutions ECM Program.
• Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the health care team.
• Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families in the community.
• Be punctual for scheduled work and use time appropriately.
• Perform duties in a conscientious, cooperative manner.
• Perform required amount of work in a timely fashion with a minimum of errors.
• Be neat and maintain a professional appearance.
• Maintain confidentiality and protect the program by abiding by laws and principles related to confidentiality; keep information concerning Program Operations, patients and employees confidential.

Qualifications

• Valid California Driver’s License
• High school graduate or equivalent required; Associate's Degree in Business Administration or related field preferred.
• Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred.
• Written and oral fluency in English and Spanish is preferred.
• Experience working in a multi-cultural setting.
• Willing to learn and understand a variety of different cultures, perspectives, and norms.
• Experience working in a community-based setting for at least 1 to 2 years preferred.
• Basic computer skills required; electronic medical record (EMR) experience preferred.
• Understand the community served, community connectedness.
• Good communication skills, such as listening well, and using language appropriately.
• Ability and willingness to provide emotional support, encouragement, and motivation to patients.

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

What We Do

COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payor clients. We provide our clients with the tools, services and advice they need to thrive in the current complex and uncertain pluralistic payment environment and achieve visionary, organizationally relevant results. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.

In partnership with the Keck Graduate Institute, the COPE Health Scholar Services provide pre-health students and careerists looking to make a transition to health care with hands‑on, experiential education opportunities. Scholars are carefully selected, well-trained and placed in clinical and administrative areas within hospitals and ambulatory care centers, where they are integrated into and assist the health care clinical or administrative team. The COPE Health Scholars Programs is a unique opportunity for students and those considering a career transition to bridge the gap between academic training and real life, as well as to gain specific training for non-licensed job roles.