Community Health Worker - Massachusetts (Plymouth / Bristol / Barnstable and Surrounding Area)
Core
A mobile Community Health Worker supporting enrollees with complex medical, social, behavioral health, and substance use needs by connecting them to care resources and addressing social determinants of health.
Role type
Community Health Worker (Clinical Care Coordination & Social Support)
Builds
Holistic care plans and member connections to medical, behavioral health, and substance use disorder resources
Domain
Healthcare / Social Services / Public Health
Deliverable
client delivery
Required skills
SDOH assessment, care planning, resource navigation, telehealth/telephonic communication, documentation, health education, community engagement
Preferred skills
Managed care experience, bilingualism (Spanish, Vietnamese, Haitian Creole, Cape Verdean Creole, Portuguese), Associate's degree
Technologies
Microsoft Office (Word, Excel, Outlook, Teams), telehealth platforms
Responsibilities
Review SDOH assessments and follow up based on enrollee needs; conduct in-person, virtual, or telephonic visits; support creation of comprehensive care plans; document contacts and interventions in the Centralized Enrollee Record; identify care gaps and collaborate with interdisciplinary teams; provide health education; participate in team meetings and committees
Seniority
Mid-level, hands-on IC