Community Health Worker – Hybrid/Mobile

CareSource

. Deliver care to CCA's most complex patients .

Posted 10/8/2026full-timeBoston • Massachusetts • United StatesMid-LevelSenior💰 $41,200 - $66,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management and coordination for complex patients, utilizing telehealth technologies and interdisciplinary collaboration. Proficient in addressing social determinants of health and providing education on wellness and preventive care.

Highest-signal resume keywords

Community-Based Care ExperienceElectronic Medical Records ProficiencyMotivational Interviewing TechniquesCHW CertificationBehavioral Health Support

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementPatient EducationHealth Risk AssessmentChronic Disease Self-ManagementTelehealth ServicesDocumentation SkillsData Tracking and ReportingSocial Determinants of HealthCommunity OutreachCare Coordination

Soft Skills

Excellent Communication SkillsOrganizational SkillsProblem-Solving SkillsTime ManagementTeam Collaboration

Tools & Technologies

Microsoft Office SuiteECW Electronic Medical RecordsOnline Training PlatformsTelehealth Technologies

Certifications & Qualifications

CHW CertificationHousing Specialist CertificationCertified Application Counselor (CAC)Certified Addiction Recovery Coach (CARC)Health/Wellness Coach Certification

Industry Keywords

MassHealth BenefitsLTSSBehavioral HealthPreventive Health MaintenanceCommunity Supports

About the role

Key responsibilities & impact

Deliver care to CCA's most complex patients
Provide care management and care coordination support
Collaborate with external providers and interdisciplinary teams
Assess patients' social determinants of health and health risks
Conduct telephonic, virtual, and in-person patient visits and outreach
Conduct urgent follow-ups for significant medical or behavioral health social needs
Provide coaching and education promoting wellness and reducing health risks
Support patient health education in collaboration with the care team and PCP
Identify care gaps and barriers related to social determinants of health
Coordinate care plans with patients, PCPs, external providers, and CCA's interprofessional team
Support efforts to reduce hospital admissions, readmissions, and emergency department use
Help patients retain and connect to Medicaid and Medicare benefits
Provide education on preventive health maintenance and routine screenings
Assist patients with housing, finances, food, utilities, education/vocational opportunities, and community supports
Engage community agencies and service providers
Address substance misuse issues with behavioral health clinicians and supports
Use motivational interviewing, harm reduction, positive behavioral support, limit setting, and strengths-based approaches
Provide one-to-one chronic disease self-management education
Coach patients in technology literacy and support virtual visits with licensed clinicians
Document visits clearly, comprehensively, and concisely
Track tasks, follow-ups, KPIs, confidentiality, and performance progress
Participate in weekly interprofessional meetings and ad hoc case conferences
Provide consultation and support to other CCA Care Team patients
Participate in education, training, quality improvement, committees, workgroups, and clinical program development
Provide clinically appropriate care management services through telehealth
Perform other assigned duties

Requirements

What you’ll need

Associate degree required
Bachelor's degree preferred
Equivalent years of relevant work experience may be accepted in lieu of required education
3+ years of experience in community-based care required
5+ years of experience working in outreach or in the community with patients who have high behavioral health needs and high medical complexity
Experience with electronic medical records, preferably eCW
Excellent written and verbal communication skills
Working knowledge of Microsoft Office applications
Ability to use an Electronic Medical Record
Ability to use online training platforms
Demonstrated understanding of MassHealth benefits and LTSS
Ability to review welcome packets and obtain consent forms
Independent decision-making, organizational, time-management, and problem-solving skills
Ability to function effectively within a multidisciplinary team
Proficiency with Microsoft Excel, Word, and Outlook
Willingness to learn and use telehealth technologies
CHW Certification preferred
Housing Specialist certification preferred
Certified Application Counselor (CAC) preferred
Certified Addiction Recovery Coach (CARC) preferred
Health/Wellness Coach Certification preferred
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Annual influenza vaccination required during influenza season
Successful criminal background check required
Must be able to document in English
Routine travel required; over 50% mobile

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Ongoing education and training
Role-specific certifications or specialization opportunities
Reasonable accommodations for qualified individuals
Influenza vaccination requirement and vaccination record support