Position Summary:
The Community Health Worker (CHW) serves as a trusted liaison between patients (members) and healthcare and social service systems, helping to bridge gaps in care through outreach, education, and advocacy. This role primarily focuses on providing supportive, non-clinical interventions to help members overcome barriers to care, navigate health and social systems, and achieve self-management and healing.
CHWs conduct personalized member support, including community outreach, home and hospital visits, and collaboration with an interdisciplinary care team. They are expected to consistently uphold high ethical standards, professionalism, compassion, and confidentiality while contributing to department goals, quality improvement, and operational efficiency.
Work schedule: Monday through Friday hours of operation: 8am to 5pm.
Work Location and Setting: Field-based position with a home office setup and occasional in-office meetings. CHWs work remotely when not in the field but must be able to travel daily to: Community locations (hospitals, clinics, provider offices, shelters, etc.), Members’ homes (private residences for assessments and interventions), Other assigned sites as needed. Mileage reimbursement is provided at the current federal rate
This candidate MUST live within the in the Central Phoenix or East Valley preferably in Mesa and Tempe, or Chandler. Must be capable of working virtually from a home-based office with high-speed internet and be comfortable and able to travel by personal automobile to multiple locations each workday including private homes, Medical and Behavioral Health hospitals, Clinics, Health Provider Offices and community sites.
Key Responsibilities:
• Provide one-on-one, culturally responsive support to help members navigate healthcare and social service systems
• Serve as a member advocate and navigator, assisting with access to health services, behavioral health care services, and social programs
• Conduct community outreach, home visits, and hospital visits, particularly for members hard to engage or disconnect from care
• Identify and address Social Determinants of Health (SDOH) that impact health outcomes (e.g., housing, food insecurity, transportation)
• Partner with interdisciplinary care teams, including medical providers, behavioral health specialists, discharge planners, chaplain, etc
• Assist with eligibility and enrollment for government and community-based assistance programs
• Provide education on preventive care disease management
• Document member interactions in Electronic Health Records (EHRs) and case management systems, ensuring accuracy and compliance
• Adhere to HIPAA and confidentiality standards to protect patient information
• Follow regulatory and organizational documentation standards, ensuring accuracy, completeness, and timeliness
• Support department quality improvement efforts and data collection to measure program effectiveness

Required Knowledge, Education, & Experience:
• High School Diploma AND a minimum of five (5) years of proven work experience as a Community Health Worker or equivalent healthcare related work experience, or;
• Associate degree AND a minimum of two (2) years of proven work experience as a Community Health Worker or equivalent healthcare related work experience, or;
• Bachelor’s degree – in social or healthcare related degree with strong understanding of the Community Health Worker model, or equivalent healthcare work experience required.
• Experience in working with diverse and underserved populations with a strong understanding of multicultural issues and Non-Medical Drivers of Health (NMDOH)
• Experience in serving Medicare and Medicaid recipients
• Ability to effectively provide support care to socially and medically complex patients in a variety of non-traditional settings.
• Excellent verbal, written and interpersonal communication skills; highly collaborative team approach to work and ability to work independently.
• Demonstrated familiarity and comfort in working within behavioral health care settings, including understanding mental health and substance use support systems.
• Must have a current driver’s license and be able to pass a DMV background check
• Must be able to obtain and maintain valid Fingerprint Clearance Card and provide clearance from a TB test.
• Experience with and comfortable using keyboards, laptops, tablets, and other electronic and portable devices for documentation and telehealth visits.
• Proficiency with Microsoft Office applications and web-based technologies
Highly Preferred Skills, Abilities, & Qualifications:
• Certified as a CHW or eligible to obtain CHW certification within one year of hire
• Bilingual English Spanish preferred but not required
• Proficient using Electronic Health Records and other database management systems in a healthcare setting
• Able to work well under tight deadlines and respond to rapidly changing demands
• Strong organizational skills: able to prioritize tasks and anticipate needs
• Able to work in a fast-paced and evolving environment
• Familiarity of formal and informal community-based organizations and resources networks.
• General knowledge of HIPAA, C.L.A.S Standards, Value Base Care Model, Motivational Interviewing and specialized training in medical terminology and practices for designated health conditions.