Community Health Worker

Avem Health Partners · Stroud, OK · 1 wk ago

OTHRFull-time

Job Purpose

The Community Health Worker position is a grant-funded, exempt level position beginning August 1, 2026-September 30, 2031, who collaborates with local resources to plan and implement health programs that promote community wellness and disease prevention. A Community Health Worker is a trained health advocate who plays a critical role in bridging the gap between communities and health systems who can navigate local resources for the benefit of patients after discharge.

About the Role

The Community Health Worker plays a key role in strengthening community partnerships and enhancing the hospital's outreach efforts by advancing health equity, improving health outcomes, and reducing avoidable utilization by identifying gaps in healthcare access and working to develop processes which fill those gaps.

Responsibilities

Community Engagement to Address Health-Related Social Needs (HRSN)
Conduct Health Education and Community Outreach
Advocacy, Solution Development for Closed-Loop Referrals, and Navigation Between Providers and Community Resources
Social Support and Informal Counseling
Care Coordination and Referral Follow-up
Developing Referral Workflows Within and Outside the Facility
Aid in Gathering and Reporting HRSN Indicators

Requirements

Educate individuals and communities about how to use health and social service systems
Build health literacy and cross-cultural communication
Facilitate health promotion and disease prevention education in a manner that matches linguistic and cultural needs of participants or community
Provide necessary information to understand and prevent disease and to help people manage health conditions (including chronic disease)
Participate in care coordination and/or case management
Make referrals and provide follow-up
Facilitate transportation services and help address barriers to services
Document and track individual and population level data
Inform people and systems about community assets and challenges
Motivate and encourage people to obtain care and other services
Support self-management of disease prevention and management of health conditions
Plan and or facilitate support groups
Advocate for the needs and perspectives of communities
Work with county-based resources to build community capacity
Integrate local processes into community advocacy to address gaps in HRSN
Utilize analysis of HRSN reported data to identify interventions strategies and implement community-level solutions to identified gaps
Participate in community assessments (windshield surveys of community assets and challenges)
Follow-up on health and social service encounters with individuals, families, and community groups
Present at local agencies and community events
Participate in evaluating CHW services and programs
Participate in evaluation and research to identify priority SDOH issues
Gather and report HRSN data
Share results of findings with local community-based organizations
Engage stakeholders to act on findings

Qualifications

Bachelor’s degree preferred but not required
Two (2) years’ experience working in, or volunteering with, community-based initiatives that have an emphasis on addressing local SDOH
Experience in working with volunteers and volunteer-led programs/organizations
A basic knowledge of social drivers of health
Knowledge about the community served
Knowledge of gathering and entering information into computerized data collection systems
Bi-lingual in Spanish preferred but not required

Skills

Excellent work attendance
Active participation in meetings and training sessions as requested
Adherence to the Avem Health Partners Code of Conduct, Standards of Behavior, and all applicable policies and health and safety requirements

Benefits

N/A

Pay

N/A

Schedule

N/A