Community Health Worker

About the role

This is a Hybrid position (3 days on-site and 2 days remote). This role may require occasional adjustments to on-site requirements based on operational needs.

Essential Duties

• Provide patient-centered health education and coaching to support chronic disease management, medication adherence, mental health awareness, self-care practices, and preventive care.
• Build rapport and maintain trusting relationships with patients to encourage engagement and positive health behavior change.
• Use effective communication, observation, and motivational interviewing techniques during in-person and telephone encounters to identify barriers to care and support care plan goals.
• Affiliate with outreach campaigns, patient notifications, screening initiatives, mailings, and special projects as assigned.
• Assist patients with appointment scheduling, reminders, and linkage to internal clinical services and external community resources.
• Support referral processes and care coordination by maintaining working relationships with community-based organizations, social service agencies, and healthcare partners.
• Participate in outreach activities to identify individuals who may benefit from education, care coordination, and support services.
• Conduct outreach and follow-up activities aligned with QI initiatives, population health priorities, and preventive care goals.
• Track outreach activities, gap closure outcomes, referrals, and follow-up actions at the individual and population level.
• Escalate clinical concerns, safety issues, or care barriers to appropriate QI or clinical leads following established workflows.
• Participate in QI meetings, outreach pilots, PDSA cycles, workflow evaluations, and performance improvement activities.
• Document all outreach interactions, education provided, attempts, and outcomes in the EHR in accordance with approved QI documentation standards.
• Submit required reports and tracking tools in alignment with QI project protocols and timelines.
• Maintain accuracy, confidentiality, and compliance with privacy and security requirements at all times.
• Attend required trainings, meetings, huddles, and competency-based learning activities.

Requirements and Qualifications

• A high school diploma or equivalent required.
• Bilingual in English and Spanish.
• One year of experience in a community health worker, patient navigation, outreach, care coordination, or similar patient-facing role in a healthcare, community-based, or social services setting, or an equivalent combination of education and experience.
• Strong interpersonal and communication skills with the ability to build rapport and engage diverse patient populations.
• Experience supporting appointment coordination, referrals, follow-up, and connection to community resources.
• Basic computer skills and ability to document accurately in the center’s health information systems.
• Ability to maintain confidentiality and comply with HIPAA and organizational privacy requirements.
• Ability to work independently while collaborating effectively with multidisciplinary healthcare teams.

Benefits

• Paid Time Off (PTO) accrual rate of 7.08 hours per pay period (26 pay periods per year).
• 9 Paid Holidays.
• 40 hours of paid Jury Duty time per year.
• Medical, Dental, & Vision insurance (HSA eligible PPO option available).
• Flexible Spending Accounts (Healthcare, Dependent Care, & Transportation).
• Employer-sponsored life insurance & long-term disability.
• 30 free visits per year for Chiropractic or Acupuncture.
• 401k plan with a 3% employer contribution.