Field Based Community Health Worker

The Field Based Community Health Worker is responsible for identifying and initiating referrals for social service programs, including financial, psychosocial, community and state supportive services. As a Field Based Community Health Worker (CHW), you will act with Medicaid members to ensure provision of home and social resources and member resource education. The Field Based Community Health Worker also addresses social determinants of health such as transportation, housing, and food access.

Working

Schedule:

This position is full time, 40‑hour work week, Monday – Friday between the hours of 8:30 am – 5:00 pm Eastern Standard time. The schedule will be determined by the manager upon hire. This position is a field‑based position with a home‑based office. You will work from home when not in the field.

Location:

Miami, FL and surrounding communities with local travel up to 25% and mileage reimbursed at the current government rate.

• Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate level of care.
• Utilize company and community‑based resources to establish a safe and effective case management plan for members.
• Collaborate with patient, family, and health care providers.
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
• Communicate with all stakeholders the required health‑related information to ensure quality coordinated care and services are provided expeditiously to all members.
• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team.
• Document all member assessments, care plan and referrals provided.
• Accountable to understand role and how it affects utilization management benchmarks and quality outcomes.
• Be flexible, adaptable and, above all, patient in all types of situations.
• Engage members either face‑to‑face or telephonically.
• Help members set person‑centered SMART goals and develop a care plan to achieve those goals with regular follow‑up calls and ongoing documentation of progress toward goals met.
• Adhere to detailed, specific documentation requirements in the member’s health record.
• Proactively engage the member to manage their own health and healthcare using Motivational Interviewing skills.
• Provide member education on community resources and benefits.
• Utilize strong skill sets of managing multiple tasks at a time, being self‑motivated, driven toward quality results, managing time well, being very detail‑oriented and organized, working well in a team and on your own, and ability to manage multiple deadlines.
• Conduct post‑discharge activities from hospital facility and support connection to social services in conjunction with Peer Support where applicable.
• Perform other duties as assigned.

• Paid Time Off which you start to accrue with your first pay period plus 8 paid holidays.
• Medical Plan options along with participation in a Health Spending Account or a Health Saving Account.
• Dental, Vision, Life & AD&D Insurance along with short‑term disability and long‑term disability coverage.
• 401(k) Savings Plan, Employee Stock Purchase Plan.
• Education Reimbursement.
• Employee Discounts.
• Employee Assistance Program.
• Employee Referral Bonus Program.
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The hourly pay for this role will range from $20 to $36 per hour based on full‑time employment. We comply with all minimum wage laws as applicable.

• High School Diploma / GED.
• 2+ years of field‑based experience.
• 1+ year of experience with knowledge of the resources available, culture, and values in the community.
• Must reside within a commutable distance to Miami, and surrounding communities in Miami, FL (must reside in Miami Dade County).
• Bilingual in Spanish and English.
• Access to a designated quiet workspace in your home (separated from non‑workspace areas) with the ability to secure…