Community Health Worker: Care Navigator & Outreach

Indiana University Health; Muncie (IN); On-site; USD 38,000 - 52,000; Full time

Job summary

Indiana University Health is seeking a Community Health Worker to provide outreach, engagement, education, advocacy, and navigation services to patients and families. You will assess barriers to care using SDOH screenings, connect patients to resources, and support coordination across the healthcare team.

You will educate on maternal health, infant care, and chronic disease management, and assist with RPM program enrollment and self-management education.

Qualifications

• Outreach and support to patients and families.
• Educate patients on navigating care and resources.
• Advocate for patient needs within the healthcare system.
• Coordinate care and referrals across teams.

Responsibilities

• Provide outreach, engagement, education, advocacy, and navigation services to patients and families.
• Assess barriers to care and conduct Social Determinants of Health (SDOH) screenings to identify needs related to housing, food security, transportation, childcare, insurance, financial assistance, utilities, and other social support services.
• Connect patients with healthcare services, community resources, and social service programs, and facilitate referrals to ensure successful linkage to care.
• Support care coordination activities, including appointment scheduling, follow-up outreach, provider communication, and navigation of healthcare systems.
• Assist patients in accessing prenatal, postpartum, primary care, specialty care, behavioral health, preventive services, and chronic disease management programs.
• Identify eligible patients and facilitate enrollment in Remote Patient Monitoring (RPM) programs and provide education regarding equipment use and self-management strategies.
• Educate patients and families on maternal health, infant care, chronic disease management, preventive health, healthy lifestyle behaviors, and recommended care plans.
• Provide ongoing encouragement, emotional support, and coaching to promote engagement, self-sufficiency, and adherence to care goals.
• Conduct community outreach and occasional home visits to assess needs, reinforce education, and support patient engagement.
• Collaborate with physicians, nurses, social workers, care managers, community organizations, and other interdisciplinary team members to coordinate services and improve outcomes.
• Participate in care team meetings, community partnerships, health promotion activities, and health equity initiatives.
• Maintain accurate documentation of patient encounters, assessments, referrals, services provided, and outcomes in accordance with organizational policies.
• Utilize culturally responsive, trauma-informed, and patient-centered approaches in all interactions.

Skills

Outreach

Education

Advocacy

Care coordination

Education

High School Diploma/GED

CHW Certification within 1 year

Job description

Indiana University Health is seeking a Community Health Worker to provide outreach, engagement, education, advocacy, and navigation services to patients and families. You will assess barriers to care using SDOH screenings, connect patients to resources, and support coordination across the healthcare team.

You will educate on maternal health, infant care, and chronic disease management, and assist with RPM program enrollment and self-management education.