Remote Community Health Navigator & Care Coordinator

HOPE Family Health Services; Westmoreland (TN); On-site; USD 36,000 - 52,000; Full time

Job summary

HOPE Family Health Services in Tennessee is seeking a Community Health Worker to help patients access HOPE services and community resources. The CHW communicates with patients and care teams, identifies barriers to care, coordinates follow-up, and documents services accurately.

Depending on the assignment, the CHW may focus on medical or behavioral health telephone support, language access, referrals, outreach, care coordination, or connecting patients with resources such as food, housing,

Qualifications

• High school diploma or equivalent required.
• Experience in health care, behavioral health, patient service, community outreach, or resource navigation preferred.
• Ability to communicate clearly and respectfully with patients, colleagues, and community partners.

Responsibilities

• Build respectful, trusting relationships with patients and families; communicate in a culturally responsive manner and support patient choice and self-advocacy.
• Contact patients by telephone, electronic message, or in person as assigned; respond to questions, relay approved information, identify needs, and route clinical concerns promptly to the appropriate licensed staff or provider.
• Help patients understand appointments, care plans, referrals, tests, and next steps using information approved by the care team; reinforce education and instructions without independently diagnosing, treating, or giving clinical advice.
• Identify barriers to care, including transportation, insurance, cost, language, food, housing, and access to services; connect patients with HOPE programs and community resources and follow up on connections as assigned.
• Coordinate with medical, behavioral health, pharmacy, and other teams and external partners to support continuity of care and timely follow-up.
• Maintain timely, accurate records of contacts, referrals, services, and follow-up in the electronic health record and other approved systems; protect confidential information.
• Participate in team meetings, training, quality improvement activities, and updates to resource information and workflows.

Skills

Communication

Organization

EHR proficiency

Cultural responsiveness

Language access

Education

High school diploma or equivalent

Tools

EHR software

Job description

HOPE Family Health Services in Tennessee is seeking a Community Health Worker to help patients access HOPE services and community resources. The CHW communicates with patients and care teams, identifies barriers to care, coordinates follow-up, and documents services accurately.

Depending on the assignment, the CHW may focus on medical or behavioral health telephone support, language access, referrals, outreach, care coordination, or connecting patients with resources such as food, housing,