Community Health Worker - Baystate Health

Req#: R22626
Category(s): Allied Health Clinical Professional, Community Health Worker
Full Time / Part Time: Full-Time
Shift: First


The Community Health Worker II (CHW II) is responsible for helping patients and their families navigate and access health and community services whiling adopting healthy behaviors. The CHW II works as a member of the care team through an integrated approach to care management and community outreach. The CHW II works to promote, maintain, and improve the health of patients and their family by providing social support and informal counseling. The CHW II partners closely with different providers, patients, funders and outside organizations and is responsible facilitating communication between patient and care teams; and providing culturally-appropriate health education and self-management support. Additionally, the CHW II will collaborate within a team-based care delivery model to improve the health and lives of our community members. The CHW II will participate in the development and implementation of innovative costs-effective delivery system changes that proactively meet the complex needs of our patients including efforts to manage their behavioral and social needs in addition to their medical care.

Job Responsibilities: 

1) Target and outreach, including home visits, to the most vulnerable and at-risk patients and establish positive and supportive relationships

2) Assist with medication adherence, reminding patients about upcoming appointments, arranging transportation assistance and other services patients may need

3) Act as the primary contact person within the clinic for enrollment of new members and educates patients on all aspects of the healthcare delivery system

4) Conduct Care Needs Screenings to the extent of his/her capability

5) Coach patients in effective management of their chronic conditions and self-care

6) Provides basic health education in individual or group sessions and helps patients to develop health management plans that support their achievement of their individualized health and wellness goals

7) Help patients in identifying and utilizing community resources using Health Leads database, in addition to scheduling and accompanying them to appointments, and assisting with completion of application for programs for which they may be eligible

8) Facilitate communication and coordinate services between providers; work collaboratively and effectively within a multidisciplinary team

9) Builds and maintains positive working relationships with the clients, providers, supervisors and all staff

10) Continuously expand knowledge and understanding of community resources and services, public health prevention, and evidence-based intervention programs provided

11) Effectively works with people from diverse backgrounds, including translators, in reducing cultural and socio-economic barriers between clients and institutions

12) Develops and implements culturally and linguistically tailored educational and support activities

13) Collaborates with the care team to track, monitor and report on specified disease-related and patient tracking measures

14) Documents activities, service plans, and results in appropriate data collection tools and/or EMR in a clear and concise manner

Required Work Experience: 

1) 2 years of experience working in a community health setting

2) Mass Health Certified Application Counselor Certification

Preferred Work Experience: 

1) Mass Health Certified Application Counselor Certification

Skills and Competencies: 

1) Bilingual skills preferred and specific to patient population being served

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.



GED or HiSET (Required)


Certified Community Health Worker – Board of Certification of Community Health Workers, Driver License – Other

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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