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PACE Participant Support Coordinator/Community Health Worker
Job in
Lehigh Acres, Lee County, Florida, 33936, USA
Listed on 2026-01-17
Listing for:
Chapters Health System
Full Time
position Listed on 2026-01-17
Job specializations:
-
Healthcare
Community Health, Health Promotion
Job Description & How to Apply Below
Lehigh Acres, FL:
Fort Myers, FL:
Cape Coral, FL:
Port Charlotte, FL:
Naples, FLtime type:
Full time posted on:
Posted Todayjob requisition :
R2610321
** It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
**** When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
** Benefits effective Day 1 Schedule Monday-Friday - Days Mileage Reimbursement Shared Responsibilities: - Conduct home visits, phone calls, and follow up to engage participants. - Document all patient interactions in the EMR promptly. - Act as liaison between participant/family and care team. - Participate in team meetings, trainings, and quality improvement projects. - Promote Hope PACE's mission and values. - Maintain confidentiality and professional boundaries.
Support for Nursing Case Managers: - Assist patients in attending medical appointments and report attendance to Nursing Case Manager. - Provide appointment reminders and follow up outreach related to healthcare visits. - Observe and report medication compliance during home or community visits. - Support patients in adhering to treatment and wellness goals using motivational interviewing. - Record patient care interactions in the EMR within 24 hours.
- Communicate patient status or concerns to the Nursing Case Manager. - Attend interdisciplinary care plan meetings to support care coordination. - Manage assigned caseload, prioritizing based on medical acuity. - Participate in clinical team huddles or rounds. - Maintain HIPAA compliance when handling PHI.
Support for Social Workers: - Build trusting relationships to identify unmet social or emotional needs. - Refer participants to community resources for food, housing, transportation, etc. - Assist with applications or follow ups for community based services. - Help participants navigate non-medical systems (e.g., Social Security). - Advocate on behalf of participants with service providers. - Provide emotional support and culturally appropriate health education.
- Communicate social or behavioral changes to the Social Worker. - Attend social work case review meetings or planning sessions. - Collaborate to reduce psychosocial barriers to care. - Promote participant autonomy, resilience, and community connection.
Experience Requirements
• 1–2 years of experience in community-based, public health, or social services preferred
• Experience working with older adults or underserved populations highly valued
• Prior experience in interdisciplinary teams or programs like PACE or home care is a plus
• Home visit, outreach, or case coordination experience beneficial
Education Requirements
• High school diploma or equivalent required
• Associate’s degree in a health-related field preferred (e.g., public health, human services)
• Medical terminology coursework or training beneficial
Licensure & Certification
• CNA, EMT, or MA preferred but not required
• Completion of formal CHW certification program preferred
• Valid driver’s license and reliable transportation required for field visits
• Certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs.
* Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 3/31/2023
** Compensation Pay Range:**$19.67 - $28.34
** This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
**** All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of…
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