Tech Stack

Description

As a Community Health Worker, you will support patients and families as part of an interdisciplinary care team in a primary care setting. You'll assess social determinants of health, coordinate with community organizations, and empower patients through motivational interviewing and goal setting.

Requirements

• CHW State course completion.
• Bachelor's degree in health-related field, social work, or health care administration (preferred).
• Background in managing populations with complex medical and behavioral needs.
• Experience in community health or public health setting.
• Proven knowledge of Medicaid population.
• Experience documenting in an electronic health record.
• Ability to organize and manage a caseload and assist with patient navigation.
• Full COVID-19 vaccination required.
• Proficiency with computer skills (Microsoft Word, Excel, Access, PowerPoint, web-based applications).
• Demonstrated ability to work independently and collaboratively.
• Excellent interpersonal, verbal, and written communication skills.
• Bilingual Spanish speaking a strong asset.
• Driver's License.
• High School Diploma/GED (Bachelor's preferred).

Responsibilities

• Complete initial assessments with patient/family to identify strengths and barriers to care.
• Build trusting relationships through rapport building.
• Empower patients via motivational interviewing and goal setting.
• Coordinate with interdisciplinary care team, family, and healthcare providers.
• Advocate for patients to ensure needs are represented and supported.
• Document in EPIC and native EMR.
• Assist with setting up social services: food assistance, housing transitions, state/federal applications, insurance, benefits, long-term care, child/family resources.
• Understand and address social determinants of health.
• Collaborate with Behavioral Health Clinicians to improve patient outcomes.