Community Health Worker

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Community Health Worker (CHW) serves as a vital link between members, healthcare providers, and community resources. Working under the direction of a designated healthcare professional, the CHW supports members in achieving improved health outcomes by addressing social determinants of health, promoting member engagement, reinforcing care plans, and facilitating access to healthcare and community services. This role requires extensive field work and travel within the assigned service area.

Member Outreach & Care Coordination

• Conduct home visits with members to reinforce care plans and encourage healthy behaviors.
• Assist members in identifying healthcare and social needs that impact their overall well-being.
• Support care plan implementation and collaborate with care management teams to address member needs.
• Develop individualized strategies to improve member engagement and health outcomes.
• Assist members with transportation arrangements and referrals to community resources.

Health Education & Advocacy

• Educate members on disease self-management, including nutrition, symptom monitoring, medication adherence, and preventive care.
• Review medications with members and assist in obtaining refills when appropriate.
• Promote understanding of treatment plans and encourage active participation in healthcare decisions.
• Advocate for members and work to reduce cultural, linguistic, socioeconomic, and healthcare access barriers.

Community Resource Navigation

• Connect members with social service agencies, community organizations, and support programs.
• Assist with completing applications for eligible services and benefits.
• Identify gaps in community resources and opportunities to improve local systems of care.
• Maintain knowledge of local community resources and support networks.

Provider & Stakeholder Collaboration

• Build and maintain positive relationships with members, providers, nurse case managers, caregivers, community agencies, and internal partners.
• Educate providers and community organizations regarding social determinants of health and their impact on member outcomes.
• Collaborate with interdisciplinary teams to coordinate care and resolve member barriers.

Documentation & Compliance

• Accurately document member interactions, assessments, and interventions in electronic health record systems.
• Complete progress notes, reports, care coordination activities, and required documentation timely and in compliance with regulatory standards.
• Adhere to HIPAA requirements, organizational policies, and all applicable regulatory guidelines.
• Meet established productivity, quality, and performance metrics.

Required Qualifications

• High School Diploma or GED.
• Minimum of 3-5 years of relevant healthcare, social services, care coordination, or case management experience.
• Previous experience working within a Managed Care Organization (MCO) preferred or related healthcare setting.
• Minimum of 1-2 years of experience providing clinical support services.
• Minimum of 1 year of community outreach experience and knowledge of Louisiana community resources.
• Minimum of 1 year of experience working with individuals with physical and/or behavioral health needs.
• Strong case management and care coordination skills.
• Excellent customer service orientation and problem-solving abilities.
• Exceptional verbal, written, and telephonic communication skills.
• Demonstrated motivational interviewing skills and ability to build rapport and trust with members.
• Strong documentation skills and commitment to compliance and regulatory standards.
• Ability to work independently, remain self-motivated, and manage competing priorities.
• Excellent organizational and time management skills.
• Ability to achieve productivity and quality performance metrics.
• Proficiency in Microsoft Office applications, Microsoft Teams, Outlook, and electronic health record systems.
• Flexibility to work variable schedules, including two evenings per week until 9:00 PM local time, based on member needs.

Preferred Qualifications

• Community Health Worker (CHW) Certification.
• Experience serving Medicaid populations in urban and rural environments.
• Knowledge of local formal and informal community resource networks.
• Experience in community-based, outpatient, public health, behavioral health, or social services settings.
• Training or certification in:
• Motivational Interviewing
• Mental Health First Aid
• Trauma-Informed Care
• HIPAA Compliance
• C.L.A.S. Standards
• Medical Terminology
• Bilingual language skills (Spanish or French) preferred.

Work Environment & Travel

• Primarily field-based position.
• Extensive travel to member homes, provider offices, community agencies, and outreach locations.
• Ability to travel within the assigned geographic service area.
• Flexibility to work variable schedules, including two evenings per week until 9:00 PM local time, based on member needs.

Anticipated Weekly Hours 40

Time Type Full time

Pay Range $18.50 - $31.72