Community Health Worker

About the role

We’re going beyond basic care to health programs integrated across the entire continuum of care. The Field‑Based Community Health Worker (CHW) identifies and initiates referrals for social service programs—including financial, psychosocial, community, and state supportive services—while interacting with Medicare and Medicaid members to provide home and social resources and member education. The CHW addresses social determinants of health such as transportation, housing, and food access, and bridges medical care appointments by collaborating with medical management teams and primary care for optimal clinical and social outcomes.

Responsibilities

• Identify simple and complex member needs through observation and patient disclosure.
• Gain cooperation with members to complete community and employer referral sources.
• Meet members in their living environments when safety permits.
• Produce daily, weekly, and monthly documentation as assigned by the Director.
• Leverage professional team members to facilitate care.
• Create a positive experience and relationship with members.
• Help members set goals and develop care plans to achieve those goals.
• Proactively engage members to manage their own health and healthcare.
• Assist members in accessing mental health and substance‑use treatment as needed.
• Utilize company and community resources to establish safe, effective case‑management plans.
• Collaborate with patients, families, and healthcare providers.
• Identify and initiate referrals for social service programs and document referrals provided.
• Understand role impact on utilization‑management benchmarks and quality outcomes.
• Engage members face‑to‑face or telephonically, providing regular follow‑up calls and documentation of progress.
• Adhere to detailed documentation requirements in the member’s health record.
• Apply Motivational Interviewing skills to empower members.
• Provide education on community resources and benefits.
• Manage multiple tasks, meet deadlines, and maintain high‑quality, detail‑oriented work both independently and within a team.
• Partner with care teams (community, providers, internal staff) and stay informed about community cultures and values.
• Perform other duties as assigned.

Required Qualifications

• High School Diploma or GED.
• 1+ years of computer proficiency (MS Word, Excel, Outlook).
• 6+ months of field‑based community advocacy experience.
• Solid knowledge of regulatory requirements and competence in case‑management and clinical arenas.
• Strong technology skills and excellent interpersonal abilities.
• Ability to negotiate and arbitrate effectively.
• Demonstrated follow‑through on activities.
• Ability to travel locally within the Las Vegas Metro, with reimbursed mileage.
• Residence within the local community.
• Unrestricted driver’s license.

Preferred Qualifications

• Experience in case management, community outreach, or volunteer activities involving public interaction.

Competencies for High Performers

• Participation in departmental projects assigned by Director or Manager.
• Maintain productivity standards for at‑home visits and phone management.
• Participate in safety programs as required for home and driving locations.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase plan.
• 401(k) contribution (subject to eligibility requirements).

Pay

The hourly pay for this role ranges from $20 – $36 per hour, based on factors such as local labor markets, education, work experience, and certifications. The position complies with all applicable minimum‑wage laws.