Community Health Worker - RCCC

About Health Care Access Maryland (HCAM):

Health Care Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.

The RCCC Community Health Worker is responsible for providing outreach, social support, care transition, and community resource information to soon release clients and their families. CHWs will provide care coordination services at a minimum, over a 60‑day period, maintaining a caseload of about 35 individuals at a time. The CHW promotes access to medical and social services assisting clients in utilizing available resources;

including scheduling appointments, accompanying clients to appointments as needed, educating clients about available community resources and referring clients to local social service agencies. Additional supportive services include assistance with completing forms and applications for benefits and community resources, coaching clients on self‑management, conducting community visits, and ensuring the client has active medical insurance coverage.

The Community Health Worker serves as a bridge for returning citizen clients, the clinical care team, and the community to ensure the necessary services are available to address health‑related social needs with a goal of reducing recidivism and emergency room use through coordinating these services.

• Conduct social needs screenings and health risk assessments prior to the clients release from custody.
• Work as a team member within the State facilities with HCAM Benefits Specialists, Medical Discharge Planners, the medical/mental health teams, and DPSCS Reentry Coordinators.
• Document assessment, contacts, and services in electronic medical records.
• Attend meetings held at Prison facilities, client homes/transitional houses/recovery houses, HCAM offices or other facilities as agreed upon by the Community Health Worker and client.
• Effectively use motivational interviewing techniques to engage and coordinate care/services to clients.
• Provide client centered services in a trauma informed approach.
• Connect with clients on a weekly basis for up to two months post release, and monthly thereafter for up to 12 months to provide ongoing assistance, accessing services and coordinating care.
• Consistently achieve productivity goal and performance measures established for Community Health Worker.

• Empower clients to engage, stay engaged, re‑engage with community services.
• Educate uninsured clients into available health insurance programs; assist them in choosing an MCO and identifying a primary medical provider.
• Refer to relevant programs that assist residents of Baltimore City, Baltimore County, or Anne Arundel County or any other Maryland districts as needed.
• Perform other duties and responsibilities as assigned.
• Attend all mandatory training courses and scheduled meetings.
• Obtain DPSCS training to access Maryland State Institutions.
• Follow HIPAA, confidentiality, and mandated reporting.
• Report to appropriate authority representative; in cases of abuse, neglect, or imminent danger.
• Must be able to work flexible non‑traditional hours as needed.

• Minimum high school education or GED required - Bachelor’s degree preferred in Human/Social Services.
• Six (6) months’ experience working in a Community Health Worker (CHW) role or in another position with the provision of social services, supportive services, personal care, or related duties.
• Reliable transportation.
• Active Maryland Community Health Worker Certification or the willingness to obtain certification within 12 months of hire.

• Strong computer literacy skills, specifically with MS Word, Excel, Outlook, and SharePoint (365).
• Detail oriented to complete requirements of files and contract…