Community Health Worker

Community Health Worker

US-OR-Scappoose

Requisition :

Position Category: Hospital/Clinic Support

Job Type: AFSCME union represented

Position Type: Limited Duration Full-Time

Posting Department: Scappoose Family Medicine

Posting Salary Range: $25.86 - $34.95 per hour with offer based on experience, education, and internal equity

Posting FTE: 1.00

Posting

Schedule:

Monday
- Saturday

Posting

Hours:

8am-8pm TBD

Drug Testable: Yes

The Community Health Worker (CHW) partners with the primary care team to assist patients and their families to improve individual and community health. Responsibilities include culturally appropriate team-based health promotion and education through direct services provided in OHSU clinics, outreach, and community engagement. The Scappoose Clinic is a Rural Health Center with approximately 12,000 paneled patients where there are over 35,000 primary care visits provided in a year.

Over 60% of the patient population is insured by either Medicaid or Medicare in a clinic that is centered in Columbia County where community resources are limited. The Community Health Worker demonstrates strong verbal and written communication skills, is self-directed, and is skilled at developing relationships quickly. The incumbent is efficient and effective in assessing and delivering direct patient care, has an in-depth knowledge of local community resources, is innovative, thinks creatively, and demonstrates flexibility.

This is a 3 year limited duration position.

Direct Patient Services and Documentation

• Respond to care team referrals and patient self-referrals for care coordination, individual and family support, health promotion, and resource system navigation.
• Support individuals and families with complex biopsychosocial needs in coordinating care with external providers and serves as system navigator and point of contact.
• Assumes advocate role on patient's behalf to ensure receipt of timely and appropriate services.
• Assists patients in problem solving issues related to health care delivery, financial or social barriers.
• Assists patients in gaining access to community services.
• Collaborates with care teams to meet patient/family and program goals.

Health Education, Prevention and Outreach

• Deliver trauma-informed and culturally appropriate health education to patients, community members, and healthcare providers. Topics may include system navigation, chronic disease self-management, nutrition, and practical life skills (e.g., budgeting, cooking).
• Design and implement community-based interventions and home visits to promote engagement and behavior change.
• Conduct outreach and screening to identify social determinants of health and coordinate responses accordingly.

Documentation

• Complete timely, accurate documentation in the electronic health record (EHR), including collaborative care plans, progress notes, outreach activity, and billing-related notes as applicable.
• Ensure services provided are documented to support quality improvement and data tracking.

Clinic Access and Engagement

• Support patients in scheduling, understanding care instructions, arranging transportation, accessing language services, and overcoming other logistical barriers.
• Serve as a patient advocate and liaison between the patient and care team to promote engagement and trust.

Care Team Meetings and Development

• Participate actively in care team huddles, case conferences, staff meetings, and team development opportunities.
• Offer the CHW perspective on patient needs and system improvements.
• Engage with patient advisory groups to strengthen community voice and bridge relational gaps in care.

Community Engagement

• Build and maintain effective relationships with community organizations and service providers.
• Facilitate referrals and collaborative efforts to address resource gaps and innovate service delivery.
• Participate in community needs assessments and the development of programs responsive to those needs.
• Collaborate with Patient/Consumer Advisory Councils to improve systems of care.

• High school diploma or equivalent.
• 2 years relevant work experience in mission-driven organization with one…