Community Weaver, GF

Eskenazi Health; Indianapolis (IN); On-site; USD 36,000 - 48,000; Full time

Job summary

Eskenazi Health in Indianapolis seeks a Community Weaver to connect patients and families with healthcare, resources, and social supports to improve overall well-being.

You will collaborate with Social Workers, Community Health Workers, and care teams to help patients access housing, transportation, and other essential services while maintaining a caseload. Passion for advocacy and community partnership will drive success in this role.

Qualifications

• High School Diploma or GED.
• Three (3) years of community-focused, human services, outreach, healthcare, social services, or related experience.
• Valid Indiana driver's license that meets Eskenazi Health driving policy requirements.
• Ability to work flexible hours, including occasional evenings and weekends.

Responsibilities

• Serve as a welcoming and trusted point of contact for patients and families seeking information, guidance, and support.
• Connect patients with Eskenazi Health programs, services, and community resources.
• Facilitate "warm handoffs" to community-based organizations and follow up to ensure successful connections.
• Help residents establish a medical home and access preventive and ongoing healthcare services.
• Conduct home visits and outreach activities to provide encouragement, education, and support.
• Develop positive, therapeutic relationships with patients and their families.
• Assist patients in navigating barriers related to housing, food security, transportation, utilities, clothing, and other social determinants of health.
• Monitor patient progress and provide ongoing support through follow-up visits and communication.
• Partner with Social Workers, Community Health Workers, behavioral health providers, and clinical care teams to coordinate services.
• Share community knowledge and resources that strengthen patient care and team effectiveness.
• Support health center leadership in community engagement and neighborhood partnership activities.
• Advocate for patient needs while fostering stronger connections between healthcare providers and community organizations.
• Maintain accurate, timely documentation of patient interactions, outreach activities, and outcomes.
• Manage an active caseload of approximately 40-50 patients.
• Participate in supervision, training, and professional development opportunities.
• Contribute to Eskenazi Health's mission to Advocate, Care, Teach, and Serve.

Skills

Relationship-building

Communication

Problem-solving

Education

High School Diploma or GED

Associate's degree (preferred)

Job description

NEW Full Time Division: Eskenazi Health

Sub-Division: FQHC

Req ID: 25850

Schedule: Full Time

Shift: Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

Connect People. Build Trust. Strengthen Communities.

At Eskenazi Health, we believe health begins where people live, work, and connect. As a Community Weaver, you will serve as a trusted guide for patients and families, helping them access healthcare, community resources, and support services that improve overall well-being.

In this meaningful role, you'll bridge the gap between healthcare and the community by building relationships, connecting patients with resources, and helping individuals navigate complex systems of care. Working closely with Social Workers, Community Health Workers, behavioral health providers, and primary care teams, you'll empower patients to overcome barriers and achieve healthier outcomes.

If you're passionate about community engagement, advocacy, and making a lasting impact in people's lives, we'd love to have you on our team.

Essential Functions and Responsibilities

What You'll Do

Build Meaningful Connections

• Serve as a welcoming and trusted point of contact for patients and families seeking information, guidance, and support.
• Connect patients with Eskenazi Health programs, services, and community resources.
• Facilitate "warm handoffs" to community-based organizations and follow up to ensure successful connections.
• Help residents establish a medical home and access preventive and ongoing healthcare services.

Support Patients Beyond the Clinical Setting

• Conduct home visits and outreach activities to provide encouragement, education, and support.
• Develop positive, therapeutic relationships with patients and their families.
• Assist patients in navigating barriers related to housing, food security, transportation, utilities, clothing, and other social determinants of health.
• Monitor patient progress and provide ongoing support through follow-up visits and communication.

Collaborate Across Healthcare and Community Teams

• Partner with Social Workers, Community Health Workers, behavioral health providers, and clinical care teams to coordinate services.
• Share community knowledge and resources that strengthen patient care and team effectiveness.
• Support health center leadership in community engagement and neighborhood partnership activities.
• Advocate for patient needs while fostering stronger connections between healthcare providers and community organizations.

Documentation & Professional Development

• Maintain accurate, timely documentation of patient interactions, outreach activities, and outcomes.
• Manage an active caseload of approximately 40-50 patients.
• Participate in supervision, training, and professional development opportunities.
• Contribute to Eskenazi Health's mission to Advocate, Care, Teach, and Serve.

Job Requirements

What We're Looking For

Required Qualifications

• High School Diploma or GED.
• Three (3) years of community-focused, human services, outreach, healthcare, social services, or related experience.
• Valid Indiana driver's license that meets Eskenazi Health driving policy requirements.
• Ability to work flexible hours, including occasional evenings and weekends.
• Strong relationship‑building, communication, and problem‑solving skills.

Preferred Qualifications

• Associate's degree in a related field.
• Community Health Worker (CHW) certification.
• Experience working with diverse populations and community-based organizations.
• Knowledge of social determinants of health and community resource navigation.

Why Join Eskenazi Health?

• Make a direct impact on the lives of patients and families.
• Help address health inequities and barriers to care.
• Build meaningful partnerships throughout the community.
• Work alongside dedicated healthcare and community professionals.
• Grow your career within a mission‑driven organization committed to improving community health.

Our Mission

Advocate. Care. Teach. Serve.

Join a team that is committed to improving health outcomes and strengthening the communities we serve, one connection at a time.

Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.

Nearest Major Market: Indianapolis Location/Region: Indianapolis, Indiana