Community Health Worker

Every day, people across Albuquerque face impossible choices between health, housing, safety, and survival. For more than four decades, Albuquerque Health Care for the Homeless has stood alongside our community’s most vulnerable neighbors, providing compassionate care, creating pathways to stability, and championing systemic change. More than 5,000 people each year find support through our integrated model of care, but our impact extends far beyond the walls of our clinic.

Through advocacy, partnership, and innovation, we are working to transform the systems that drive homelessness and build a community where everyone has the opportunity to live with dignity, health, and hope.

Are you an engaged, dynamic advocate passionate about health equity and public health? Join our multidisciplinary team in delivering low-barrier care to individuals experiencing homelessness. In the vital role of Community Health Worker, you will assist clients on campus and in outreach settings—helping them navigate complex care systems, secure public benefits, obtain critical identity documents, and access transitional and permanent housing.

Operating from a client-centered, trauma-informed, and harm-reduction framework, you will provide short-term care coordination, facilitate health education, and connect individuals to long-term care networks.

• Clearly communicate with patients about their role in the patient’s care plan and the services available through them
• Documents all encounters and contacts made on behalf of patients, including service plans and outcomes achieved by patients, into EHR within 72 hours
• Completes and submits monthly reports; maintains comprehensive notes, release of information, assessments and other documents acquired on behalf of the client
• Actively refer unengaged patients to Harm Reduction, Dental, Behavioral Health, and Case Management programs within AHCH
• Assist patients in identifying socio-economic issues that affect their overall health and develop health/social management plans and goals
• Communicate with benefit carriers about interventions provided to their members seeking services at the AHCH
• Provide referrals and follow up services (care coordination)
• Connect patients to community resources, including but not limited to locating, housing, food, clothing, education, life skills classes, and employment
• Assist patients with finding community resources, scheduling appointments with social services agencies, and completing applications for benefits /programs for which they may be eligible, including Medicaid
• Encourage and support patients to be active and engaged participants in their health and overall wellbeing
• Works collaboratively and effectively within a team (medical/social services) and establishes positive, supportive relationships with staff and providers
• Keep up to date on community resources
• Must comply with all AHCH policies and procedures

• Experience in social services, behavioral health or health care setting
• Ability to complete NM Community Health Worker Certification within 90 days (training provided)
• Experience working with complicated and co-occurring medical issues
• Valid NM driving license with clean driving record
  
  Ability to work with large, multi-disciplinary teams
• High school diploma or equivalent

• Previous work with an EMR
• Associate degree in Human Services or relevant field
• 1 year experience as CHW or Patient Care Coordinator
• Experience with underserved, vulnerable populations
• Bilingual Spanish/English
• Experience working with those with mental illness or substance use disorder
• Knowledge and understanding of harm reduction philosophy

• Low cost medical, vision, and dental insurance with health club membership
• Life insurance and Accidental Death and Dismemberment fully paid for by company
• Long Term Disability fully paid for by company
• Paid Time Off - 24 days in first year of employment
• Catastrophic Sick Time accrual
• 7 Paid holidays
• Health Care and Dependent Care Flexible Spending Accounts
• 401k with employer match
• Student loan forgiveness eligible

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color,religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

This organization participates in E-Verify.