Job Description
Position Summary
The Community Health Worker (CHW) works as part of an interdisciplinary care team to help members access healthcare and community resources. This position works directly with members in their homes, healthcare facilities, provider offices, community agencies, and through phone or electronic communication.
Main Job Responsibilities
- Engage with members in a variety of settings, including:
- Members' homes
- Hospitals
- Provider offices
- Community agencies
- Phone or electronic communication
- Build professional, supportive relationships with members and families
- Accompany members to medical appointments and social service visits when needed
- Coordinate logistics that support care plan goals, including:
- Transportation
- Appointment reminders
- Childcare arrangements
- Gather member information to support assessments, including:
- Demographic
- Eligibility and enrollment history
- Current health status
- Information from members, families, providers, and other stakeholders
- Assist with the development and implementation of individualized care plans under the direction of the Case Manager
- Identify and help address barriers to care and services
- Connect members with appropriate community and social resources
- Support and empower members to improve their health, wellness, safety, and ability to manage their own care
- Provide health education and wellness materials as directed by the Case Manager or Team Lead
- Monitor member concerns and satisfaction and communicate issues to the appropriate team members
- Maintain accurate and timely documentation within Care Management guidelines
- Collaborate with Case Managers and other members of the interdisciplinary care team (ICT)
- Identify opportunities to improve processes and the overall member experience
- Regularly travel for member, provider, and community-based visits
Skills and Requirements
- High school diploma or GED required
- Comfortable using Microsoft Office, Microsoft Teams, virtual private networks (VPNs), mobile hotspots, electronic medical records, and other digital workplace tools.
- Relevant experience and knowledge:
- Previous experience in community health work, peer support, outreach, social services, care coordination, or another community-based role.
- Knowledge of Medicaid, long-term care, waiver services, behavioral health, and social determinants of health.
Candidates Must Also Have:
- Valid driver's license
- Reliable vehicle
- Verifiable auto insurance
- Acceptable driving record
- Ability and willingness to routinely travel
- Comfortable conducting in-person visits in members' homes and community settings
- Community Health Worker Certification or completion of an equivalent approved training program
- 2+ years of paid or volunteer experience working with at-risk populations in community settings and coordinating services
- Experience working with high-risk, underserved, or vulnerable populations
- Knowledge of local and state community resources and social services
- Experience addressing Social Determinants of Health (SDOH), including transportation, food, housing, childcare, and access to healthcare
- Experience supporting care management or case management teams
- Experience conducting member outreach and home/community visits
- Experience navigating healthcare and social service systems
- Strong conflict-resolution skills
- Proven ability to build positive relationships with members, families, providers, and community organizations
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.