Community Health Worker

Multiple Locations
Across Nassau County, FL (Fernandina Beach, Yulee, Callahan, Hilliard) - Just North of Jacksonville

Full-Time |

Support individuals and families across rural Nassau County by connecting them to healthcare, behavioral h of health, pharmacy, public health, and community resources. As a Community Health Worker (CHW), you will serve as a trusted member of Starting Point Behavioral Healthcare's Mobile Health team and help remove barriers to care, improve health literacy, and connect individuals to services that support their health and well-being.

Working primarily from SPBH's Mobile Health Clinic and community partner locations, you will engage residents, provide approved non-clinical screenings and health education, identify social and healthcare needs, coordinate referrals, and provide follow-up to help ensure individuals successfully access the services they need.

The CHW does not independently diagnose, provide clinical assessment, or deliver medical or behavioral health treatment.

We invest in our team and prioritize your success:

• Up to $1,750 Retention Bonus (Year
  1) + ongoing tenure-based rewards
• Eligible for PSLF (public service loan forgiveness)
• Health, Dental & Vision Insurance (85% employer-paid for employee coverage)
• Employer-Paid Life Insurance
• 401(k) with 50% Match (up to 6%)
• Generous PTO - vacation and sick leave accrual
• Paid Holidays + Floating Holiday
• Leadership & career growth opportunities
• A supportive and mission-driven culture

• Conduct community outreach activities throughout rural Nassau County, including mobile clinic stops, partner locations, community events, and other approved outreach settings.
• Engage individuals and families and build trusting relationships using person-centered, trauma-informed, culturally responsive, and motivational communication strategies.
• Provide approved health education related to preventive care, chronic-disease risk factors, behavioral health, substance use, medication access, healthy lifestyles, and appropriate use of healthcare services.
• Administer approved non-clinical social determinants of health (SDOH) assessments to identify needs involving transportation, food, housing, medication access, healthcare access, finances, social support, and other health-related social needs.
• Administer approved behavioral health screening tools in accordance with training and program protocols, which may include PHQ-9, GAD-7, AUDIT, DAST, tobacco-use, and pregnancy screening.
• Conduct or assist with approved preventive physical-health screening and risk-identification activities, when authorized by program protocols and training.
• Recognize screening results, symptoms, or safety concerns that meet established escalation criteria and promptly involve the appropriate licensed professional, crisis resource, or emergency response.
• Connect individuals to medical, behavioral health, substance use, pharmacy, maternal health, preventive health, and social-service resources based on identified needs.
• Initiate warm handoffs and referrals to SPBH and participating CommHIT Everywhere partners using established protocols.
• Assist individuals with appointment scheduling, referral instructions, consent processes, and practical next steps for accessing services.
• Follow up with individuals to determine whether referred services were accessed, identify barriers to completion, and provide assistance within the CHW role.
• Document referral status, outcomes, and unresolved barriers and communicate concerns to appropriate SPBH or partner staff.
• Support transitions among Mobile Health services, SPBH fixed sites, pharmacies, public health partners, primary care, and other community providers.
• Advocate for individuals by helping them…