Community Health Worker

• Provide care coordination support with a preventative health focus to CalAIM clients in conjunction with the assigned Lead Care Manager
• Maintain regular contact with assigned clients to ensure referred services are being delivered
• Complete referrals and follow-up calls for connectivity to primary care, behavioral health, home health, durable medical equipment, and other health care services
• Conduct outreach and engagement with newly referred or authorized potential clients in homes, hospitals, nursing facilities, shelters, or on the street
• Educate clients about health and mental health care systems in a culturally appropriate manner
• Conduct home, acute hospital, and skilled nursing facility visits and escort clients to appointments as clinically indicated
• Assist the Lead Care Manager with documentation for Medi-Cal waiver participation
• Identify, arrange, and monitor community services based on knowledge of Medicare, Medi-Cal, and entitlement programs
• Establish professional relationships with clients and informal support networks
• Document client-related activity in progress notes within 24–48 hours as needed
• Maintain paperwork and consistent charting for continuity of care
• Communicate with community providers, physicians, and health and social service workers
• Provide relevant client-care and program-operation information while maintaining confidentiality
• Collaborate with the interdisciplinary team to support clients living in the community
• Participate in team and program meetings, activities, and problem-solving
• Use supervision appropriately and provide updates on client activity
• Apply the Institute on Aging’s regulatory and procedural requirements
• Attend continuing education and in-service training
• Perform other reasonably related responsibilities as assigned

Community Health Worker coordinating preventive care for CalAIM clients at IOA

Community Health Worker coordinating preventive health services for CalAIM clients at IOA, an organization helping older adults and people with disabilities age in place. Connecting clients with care and community resources.

• Provide care coordination and resource navigation to an assigned caseload of community member clients with unmet social needs
• Conduct telephonic and face-to-face outreach, follow-up, and coaching to assess needs, provide education, and assist with service enrollment
• Administer social determinants of health screenings, intake forms, and assessments in the Activate Care platform
• Help clients prioritize goals and create client-centered care plans
• Coordinate with community nonprofits and resources to address client needs
• Provide resources to improve clients' health literacy and self-sufficiency
• Coordinate healthcare transitions after hospital discharge or ER visits and collaborate with providers and families to ensure continuity of care and prevent readmissions
• Coordinate care across healthcare settings and facilitate specialty or behavioral program referrals
• Support Medicaid and health plan navigation, service authorizations, benefits and appeals education, and care coordination advocacy
• Provide person-centered coordination for high-risk members experiencing housing instability, complex medical conditions, or acute social barriers
• Assist with scheduling appointments, completing applications, and making reminder calls
• Maintain client privacy and confidentiality
• Participate in weekly team meetings, workshops, and training
• Commute to clients' homes and field locations as required
• Perform other duties as assigned

Community Health Worker coordinating care and resources for Nevada clients at Activate Care

Community Health Worker coordinating care, screenings, and referrals for Nevada residents with health-related social needs. Supporting CareSource’s Path Assist program through home, field, and telephonic outreach.

• Provide care coordination and resource navigation to assigned community-member clients with unmet social needs
• Conduct telephonic and face-to-face outreach, follow-up, coaching, needs assessments, education, and service enrollment assistance
• Administer SDOH screenings, intake forms, and assessments in the Activate Care platform
• Help clients prioritize goals and create client-centered care plans
• Coordinate with community nonprofits and resources
• Improve clients’ health literacy and self-sufficiency through resource provision
• Coordinate post-hospital-discharge and post-ER healthcare transitions to support continuity of care and prevent readmissions
• Coordinate care across healthcare settings and facilitate specialty or behavioral-program referrals
• Support Medicaid and health-plan navigation, service authorizations, benefits/appeals understanding, and advocacy
• Provide person-centered coordination for high-risk members facing housing instability, complex medical conditions, or acute social barriers
• Assist with appointments, applications, reminder calls, and other assigned case activities
• Maintain client privacy and confidentiality
• Participate in weekly team meetings, workshops, and training
• Commute to clients’ homes and field locations as required

Community Health Worker coordinating social-needs care for Nevada members at Activate Care

Community Health Worker coordinating social-needs care and healthcare transitions for Nevada members enrolled in Activate Care’s Path Assist program. Conducting outreach, assessments, referrals, and client-centered care planning.

• Conduct community outreach and health screenings
• Support Medicaid members and individuals with asthma or chronic health conditions
• Complete health assessments and questionnaires
• Conduct home visits, approximately 8 per month, with some virtual visits
• Connect community members with resources and health-related services
• Assist with environmental health initiatives and supply coordination
• Present educational workshops and community programs
• Maintain accurate records across multiple systems

Bilingual Community Health Worker connecting Staten Island residents with healthcare and social services

Bilingual Community Health Worker supporting Staten Island residents with health screenings, Medicaid assistance, and home visits. Connecting underserved communities to healthcare, housing, food, and social services.

• Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
• Oversees the development of the client care plans and goal settings
• Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services
• Connect clients to other social services and supports that are needed
• Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
• Evaluate client’s progress and update SMART goals
• Provide mental health promotion
• Arrange transportation (e.g., ACCESS)
• Complete all documentation, including outcome measures within the timeframes established by the individual care plans
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
• Complete monthly reporting to ensure program compliance
• Attend training as assigned

Community Health Worker coordinating care and support for clients in Los Angeles County

Community Health Worker coordinating health care and support for clients in Los Angeles County. Collaborating with health care providers and social services to enhance client well-being.

Clinical Lead Care Manager providing comprehensive care in Sacramento County

Clinical Lead Care Manager providing comprehensive care for individuals with complex needs in Sacramento County. Join Vynca to make a profound difference in community health management.

• Safely drive the mobile medical clinic to pre-arranged locations within the community
• Ensure the vehicle is stocked, organized, and operational; promptly report any mechanical or equipment issues
• Set up the clinic and ensure it is properly prepared to serve patients
• Maintain accurate records of the clinic’s schedules, locations, and patient flow
• Perform pre-trip and post-trip vehicle inspections
• Oversee and maintain all aspects of clinic operations
• Greet patients, provide information about available services, and ensure they feel comfortable during their visits
• Assist with data collection to assess community health needs and improve services
• Follow all safety protocols, including proper handling of medical supplies and maintaining patient confidentiality
• Comply with health, safety, transportation, and mobile healthcare regulations
• Help maintain cleanliness and hygiene within the mobile clinic

Community Health Worker with Mission Mobile Medical driving a mobile clinic

Community Health Worker driving a mobile clinic for Mission Mobile Medical. Serving patients by providing care in various community locations and maintaining clinic operations.

• Ability to perform in-person visits to members in hospitals, post-acute, rehabilitation and other healthcare and community facilities.
• Participate in member engagement efforts, including in-person, calls, texts, and email campaigns.
• Pre-screen patients for eligibility, educate patients about the benefits of participating in the program, and answer questions.
• Build trusting relationships with patients and caregivers to encourage enrollment
• Maintain documentation in the Karoo Health EHR system for tracking and reporting purposes
• Drive patient enrollment by providing an overview of the Karoo Health program and Model of Care through patient education and interaction to ensure patients understand program services and benefits
• Coordinate with hospital/facility case management and discharge planning teams to understand discharge plans and support members' successful transition to home or the next setting of care
• Meet monthly outreach, enrollment, and engagement goals.
• Manage inbound calls from patients responding to inquiries about enrollment and ongoing engagement with the Karoo Care Program
• Communicate regularly with all members of the interdisciplinary team to share key information, coordinate tasks and provide support for the enrollment process
• Participate in team meetings, ongoing training, and quality improvement initiatives.
• Special projects, initiatives, and other job duties as assigned

Community Health Worker engaging patients in hospitals and healthcare facilities

Community Health Worker engaging patients in healthcare settings for Karoo Health. Conducting outreach, education, and enrollment for the cardiovascular care program.

• Enrolls clients in the First Steps program and enters client information into database.
• Teaches basic principles of self-care including appropriate utilization of available pre- and postnatal care.
• Connect clients to Sea Mar and non-Sea Mar resources as appropriate.
• Provide appropriate provider and/or resource referrals to promote well-being within the family.
• Monitor and document clients’ ability to keep scheduled medical and social service appointments.
• Send letters and perform follow-up calls to patients for planned visits.
• Complete appropriate and timely documentation of client appointment.
• Update and maintain the MSS client database.
• Empower and educate clients in the appropriate use of healthcare resources.
• Attend regularly scheduled team meetings and demonstrate clear communication.

Community Health Worker assisting clients with health resource navigation

Community Health Worker supporting clients in utilizing health resources at Sea Mar Community Health Centers in Washington. Involves client advocacy, education, and administrative tasks.

• Participates in a six (6) month rotational program within the Community Health departments.
• Engages in community health department rotations, completing assigned projects under the guidance of supporting manager.
• Establishes connections with providers to identify suitable medical, mental health, and dental homes.
• Rotates and travels across Memorial Hermann locations within the greater Houston area.
• Advocates on behalf of the patient and family.

Community Health Worker Intern supporting community health initiatives at Memorial Hermann.

Community Health Worker – Intern

Community Health Worker Intern engaging in community health programs and connecting patients with healthcare resources at Memorial Hermann. Completing assignments and gaining exposure across various healthcare environments.

• Participate in a structured six (6) month rotational program across various functions of the Community Health and Community Benefits team
• Gain exposure to best practices in patient engagement, community resources, and organizational practices
• Conduct intake, needs & eligibility assessments, and referrals of patients under staff supervision
• Complete a project and/or presentation at end of rotation that demonstrates knowledge obtained during experience
• Ensure safe care to patients, staff and visitors

Community Health Worker Intern participating in a six-month program

Community Health Worker Intern participating in a structured six-month rotational program at Memorial Hermann. Gaining exposure to healthcare practices and community resources in the greater Houston area.

• Serve as the primary liaison between pilot site-based PoWER CHWs and the PoWER Program Team.
• Provide leadership in the development and continuous improvement of the PoWER CHW model by informing workflows, implementation strategies, training and mentorship programs, operational standards, and best practices to ensure consistent, high-quality implementation across pilot sites.
• Partner closely with the Program Team’s Medical Director, Lead Doula, Lead Nurse, and Peer Support Specialist to support coordinated design, implementation, and achievement of program outcomes.
• Partner with RHT CHW program leadership and the Kentucky Office of CHW to align PoWER CHW expectations with perinatal training / certification direction and ensure CHWs are prepared for perinatal-specific home visiting work.
• Provide strategic guidance on CHW home visiting, wraparound service coordination, and family engagement by standardizing visit approaches, strengthening navigation of Kentucky‑based resources, and supporting CHWs in effectively engaging families and caregivers to ensure services are accessible, coordinated, and sustained.
• Coordinate with pilot site PoWER CHWs on a regularly scheduled basis to support consistent application of the PoWER model across sites.
• Conduct site visits with each PoWER Team at least once per quarter to support implementation, gather feedback, and identify opportunities for improvement.
• Elevate barriers to care and implementation challenges identified by PoWER site CHWs to the Program Team for resolution and follow-up.
• Use emotionally intelligent communication skills to support collaboration, shared problem solving, and alignment across pilot site teams.
• Collect, review, and analyze data from PoWER sites, as appropriate.
• Collaborate and maintain regular communication with the Kentucky Office of Community Health Workers, Department for Public Health programs, and other Cabinet for Health and Family Services partners whose work aligns with and supports PoWER program goals.

Lead Community Health Worker for Kentucky Rural Health Transformation Program

Lead Community Health Worker

Lead Community Health Worker supporting Kentucky Rural Health Transformation Program with public health initiatives. Collaborating with teams to improve maternal and infant health services across Kentucky.

• Conduct in-depth assessments of patient needs, goals, and barriers to achieving good health outcomes.
• Provide advanced health education and coaching to individuals and families to promote healthy behaviors and self-management of chronic conditions.
• Collaborate with healthcare providers to develop and implement care plans for patients with complex health needs.
• Assist patients in navigating the healthcare system and accessing appropriate services, including health insurance and social services.
• Provide ongoing follow-up and support to patients to ensure continuity of care and successful achievement of health goals.
• Develop and implement health promotion programs and activities to address community health needs.
• Collect data and maintain accurate records of patient interactions and outcomes.
• Attend meetings and trainings related to community health promotion and education.

Community Health Worker providing health education and care coordination services

Community Health Worker providing health education and coordination in Boston area for Mass General Brigham. Collaborating with healthcare providers and assisting patients navigating health services.

• Serves as a key connector between underserved communities and health/social service systems
• Focuses on promoting health equity and improving care coordination
• Responsible for outreach, community member or patient advocacy and care coordination
• Builds trusting relationships to mediate between individuals and health/social service systems
• Identifies and engages individuals and families through outreach activities and community events
• Evaluates the specific needs and challenges faced by community members
• Identifies barriers such as housing and food insecurity and connects individuals to appropriate resources
• Applies specialized knowledge to provide targeted education and resource navigation
• May conduct outreach activities, including home visits
• Maintains accurate and up-to-date records to support advocacy efforts

Senior Community Health Worker connecting underserved communities with health services

Senior Community Health Worker

Senior Community Health Worker at Bon Secours serving as a connector between underserved communities and health systems. Focused on health equity and care coordination with community advocacy responsibilities.

• Serve as the primary point of contact for patients after their intake visit.
• Help patients understand and act on their care plan — scheduling appointments, finding in-network providers, and using their Medicare benefits.
• Resolve navigation friction: portals, referrals, appointment logistics, forms, and provider communications.
• Identify practical and social-needs support (food, housing, transportation, etc.) and connect patients to available resources.
• Coordinate with clinical team members involved in a patient's care, while providing non-clinical support only.
• Document every patient interaction and support activity in our platform, accurately and on time.
• Maintain confidentiality and comply with HIPAA, privacy, and all applicable platform standards.

Care Advocate providing navigation support for Medicare patients.

Community Health Worker – Care Advocate, Patient Navigation

Care Advocate providing navigation support for Medicare patients, coordinating care and connecting them to resources. Ensure clarity and understanding of care plans with a focus on community health.

• Supports Emergency Department (ED) patients with complex social, behavioral health, and substance use-related needs by providing comprehensive navigation, education, advocacy, and care coordination.
• Engages individuals with substance use disorders, applying harm reduction principles.
• Develops individualized care plans that address social needs, behavioral health concerns, and substance use-related goals in collaboration with patients and the interdisciplinary care team.
• Provides education on substance use disorders, overdose prevention, harm reduction strategies, recovery resources, and available treatment options using non-stigmatizing, evidence-informed approaches.
• Assists patients in exploring the full continuum of substance use treatment options, including outpatient services, intensive outpatient programs (IOP), residential treatment, withdrawal management, recovery housing, peer recovery support, and other community-based recovery resources.
• Facilitates timely referrals and warm handoffs to behavioral health providers, substance use treatment programs, community-based organizations, primary care providers, and specialty services.
• Conducts proactive follow-up with patients and families to promote successful linkage to treatment, encourage continued engagement, and address barriers to care.

Community Health Worker supporting complex ED patients at Cedars-Sinai.

Community Health Worker – Emergency Dept, Substance Use Navigation Focus

Community Health Worker supporting Emergency Department patients with substance use disorders at Cedars-Sinai. Providing navigation, education, advocacy, and care coordination for complex social and behavioral health needs.

• Conducts in-home, clinic-based, telephonic, and community-based wellness visits with patients/members as assigned.
• Completes health risk assessments, social needs screenings, and follow-up activities to identify barriers related to health care access, food, housing, transportation, medication access, safety, utilities, and other social drivers of health.
• Provides support, education, and reinforcement to help patients/members understand and follow their individualized care plans.
• Supports medication adherence by providing reminders, identifying barriers to medication access or understanding, and escalating concerns to the appropriate clinical team member.
• Assists patients/members with appointment reminders, follow-up care needs, preventive screenings, immunizations, routine checkups, and appropriate use of their medical home.
• Facilitates transitions of care after hospital, emergency department, or skilled nursing facility discharge by assisting with outreach, follow-up needs, appointment coordination, resource connection, and escalation of concerns.
• Connects patients/members to appropriate internal and external resources.
• Helps patients/members access community-based resources, including food assistance, housing support, transportation resources, utility assistance, financial assistance programs, and other social service supports.
• Assists patients/members with completion of forms, applications, resource referrals, and follow-up steps needed to access programs or benefits for which they may be eligible.
• Serves as a trusted liaison between patients/members, families, community organizations, health care providers, clinics, and social service agencies.
• Builds positive, supportive relationships with patients/members while promoting engagement, self-management, and active participation in health and wellness goals.
• Documents all encounters, outreach attempts, assessments, identified needs, interventions, referrals, and follow-up activities in the appropriate electronic system according to departmental expectations.
• Escalates concerns related to safety, unmet social needs, changes in health status, behavioral health concerns, medication concerns, suspected abuse/neglect, or barriers requiring clinical or social work intervention to the appropriate team member.
• Maintains current knowledge of community resources, health care services, payer resources, internal programs, and referral pathways.
• Works collaboratively and effectively within a team while also demonstrating the ability to work independently in community-based settings.

Community Health Worker serving as a liaison for patient support and resource connection.

Community Health Worker serving as a trusted liaison and navigator for patient support. Supporting patients with wellness visits and connecting them with health care resources.

• Conduct intake interviews with members and complete the Social Determinants of Health (SDOH) assessment
• Communicate the purpose of the program to the members and the impact it may have on their well-being
• Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals
• Partner with community organizations, governmental agencies, and local resources to develop productive relationships and programs
• Assist patients in understanding care plans and instructions
• Assist members in accessing health-related services, and overcoming barriers to obtaining needed medical care/social services
• Provide support and advocacy during medical visits or when necessary to ensure members' medical needs and referrals required are being conveyed
• Follow up with both members and providers regarding health/social services
• Maintains positive working relationships with members, providers, nurse case managers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds
• Works to reduce cultural and socio-economic barriers between members and institutions

Community Health Worker coordinating health improvement resources for Maryland Care Management

Community Health Worker – SDoH

Community Health Worker coordinating health improvement resources and addressing socio-economic barriers for Maryland Care Management. Engaging with members to facilitate access to healthcare and community services.

• Conduct intake interviews with members and complete the Social Determinants of Health (SDOH) assessment
• Communicate the purpose of the program to the members and the impact it may have on their well-being
• Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals
• Partner with community organizations, governmental agencies, and local resources to develop productive relationships and programs
• Assist patients in understanding care plans and instructions
• Assist members in accessing health-related services and overcoming barriers to obtaining needed medical care/social services
• Provide support and advocacy during medical visits or when necessary to ensure members' medical needs and referrals required are being conveyed
• Follow up with both members and providers regarding health/social services
• Maintains positive working relationships with members, providers, nurse case managers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds

Community Health Worker addressing social barriers to optimal health

Community Health Worker addressing social barriers to health for Maryland Physicians Care members. Conducting assessments, developing health plans, and collaborating with community resources in Central Maryland.

• Serves as a trusted community-based liaison, navigator, and member support resource
• Supports patients and members by conducting in-home and community-based wellness visits
• Completes health risk assessments and follow-ups
• Identifies barriers to care and connects individuals to resources
• Reinforces care plan goals
• Works closely with interdisciplinary care team
• Helps navigate the health care system and improve engagement in preventive and chronic disease care
• Supports medication adherence and transitions of care after discharge
• Conducts wellness visits and social needs screenings
• Documents all encounters and escalates concerns appropriately
• Maintains knowledge of community resources and connects patients to them
• Works collaboratively and independently in the community.

Community Health Worker supporting patients in Allegany County region

Community Health Worker supporting patients in Allegany County, conducting wellness visits and coordinating care. Collaborating with health team to navigate barriers and support health goals.

Community Health Worker jobs in United States

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Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker

Community Health Worker – Intern

Community Health Worker – Intern

Lead Community Health Worker

Community Health Worker

Senior Community Health Worker

Community Health Worker – Care Advocate, Patient Navigation

Community Health Worker – Emergency Dept, Substance Use Navigation Focus

Community Health Worker

Community Health Worker – SDoH

Community Health Worker – SDoH

Community Health Worker