Community Health Worker - Strategic Insurance Devt

Be the Bridge Between Healthcare and the Community

As a Community Health Worker, you'll make a meaningful impact by connecting individuals and families to the resources, education, and support they need to achieve better health outcomes. Whether helping patients navigate the healthcare system, overcoming barriers to care, or building trusted relationships within the community, your work will directly improve lives and strengthen the health of the communities Guthrie serves.

• Best Places to Work 2025 – Modern Healthcare
• America's Greatest Workplaces in Healthcare 2025, 2026 – Newsweek
• America's Best-In-State Employers (PA) 2025 – Forbes
• America's Best Employers for Healthcare Professionals 2025 – Forbes
• America's Best Employers for Women 2025 – Forbes

• Full-Time, Day Shift

• Medical, Dental, and Vision coverage starting the first of the month after hire
• PTO starts Day 1
• Voluntary 403(b) Retirement Plan with Employer Match through Fidelity
• Employee Assistance Program providing confidential support for personal and professional well-being
• Shift Differentials and Premiums for evenings, nights, weekends, and float coverage
• Friendly, inclusive work family where you'll feel valued and supported

As the Community Health Worker, you will contribute to improving the health of communities and individuals by screening for Health-Related Social Needs (HRSNs), connecting individuals to services, and providing health education and community resource support. You will work collaboratively with healthcare systems, social service providers, and community-based organizations to make resources more accessible and improve the quality of service delivery through compassionate, culturally competent support and coordination.

• Complete screenings of the patient population for Social Determinants of Health (SDOH).
• Document findings in Epic and other required platforms.

• Work with Medicaid members to connect them to appropriate services that address their Health-Related Social Needs (HRSNs) and align with their preferences.
• Document interventions in Epic and other required platforms.
• Assist members with scheduling transportation through MAS or other appropriate resources.
• Follow up with members to confirm services were accessed and to determine whether their needs were met.
• Establish and maintain relationships with community agencies, service providers, and key stakeholders to stay informed about available resources and referral pathways.
• Maintain current knowledge of community resources and advocate on behalf of participants and families when working with community service agencies.

• Assist patients in completing preventive screenings, healthcare visits, immunizations, and other recommended services identified through Health Maintenance or payer quality measure reports.

• Manage an assigned caseload of Medicaid members.
• Provide support for individuals with behavioral health diagnoses and/or individuals who use drugs without utilizing stigmatizing language or practices.
• Communicate compassionately with all individuals seeking services.
• Remove barriers to care caused by limitations, disabilities, resource challenges, or other obstacles.
• Develop Social Care Plans that include:
  • A summary of member needs
  • Eligibility requirements
  • Services to which members are referred
  • Status of referrals
• Update Social Care Plans as needed.
• Monitor and respond to communications received from members.
• Promote appropriate use of healthcare resources by fostering consistent connections with primary care providers.
• Educate patients on appropriate utilization of walk-in clinics and…