Population Health Community Health Worker - (Travel throughout Wood County, WV Required)
Core
Community Health Worker serving as a trusted liaison and navigator to support patients with whole-person care, addressing social drivers of health, and facilitating transitions of care.
Role type
Community Health Worker (CHW)
Builds
Patient engagement, care plan adherence, and community resource connections
Domain
Healthcare / Public Health / Social Services
Deliverable
physical/clinical work
Required skills
Health risk assessment, social needs screening, care coordination, medication adherence support, community outreach, resource navigation, electronic health records documentation, patient education
Preferred skills
Community Health Worker certification, CPR certification, Medical Assistant, Certified Nursing Assistant, Patient Care Technician, Health Coach, Peer Support
Technologies
Electronic health records (EHR)
Responsibilities
Conduct in-home and community-based wellness visits; complete health risk assessments and social needs screenings; support medication adherence; assist with appointment reminders and preventive care; facilitate transitions of care after hospital discharge; connect patients to internal and external resources (food, housing, transportation); document encounters in EHR; escalate safety or clinical concerns.
Seniority
Entry-level to Mid-level, hands-on IC