Community Health Worker – Mobile

CareSource

. Deliver care to CCA’s most complex patients, providing care management and care coordination support .

Posted 11/3/2026full-timeWorcester • 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, with a strong focus on social determinants of health and community-based care. Proficient in utilizing electronic medical records and telehealth technologies to enhance patient engagement and education.

Highest-signal resume keywords

Community-Based Care ExperienceElectronic Medical Record UtilizationTelehealth Technologies ProficiencySocial Determinants of Health AssessmentPatient Education and Coaching

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationHealth Risk AssessmentMotivational InterviewingChronic Disease Self-ManagementBehavioral Health SupportDocumentation and ChartingData ManagementPatient OutreachCommunity EngagementDecision Making

Soft Skills

Excellent Communication SkillsOrganizational SkillsInterpersonal SkillsProblem-Solving SkillsTime Management

Tools & Technologies

Electronic Medical Record (eCW)Microsoft Office SuiteTelehealth PlatformsOnline Training Platforms

Certifications & Qualifications

Valid Driver's LicenseInfluenza Vaccination

Industry Keywords

Mass Health BenefitsLong-Term Services and Supports (LTSS)Community AgenciesBehavioral Health NeedsHigh Medical Complexity

About the role

Key responsibilities & impact

Deliver care to CCA’s most complex patients, providing care management and care coordination support
Collaborate with external providers to deliver comprehensive care
Engage in regular assessments of patients’ Social Determinants of Health
Conduct telephone, virtual, and in-person patient visits and outreach
Conduct urgent follow-ups addressing 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 interprofessional care team and PCP
Assess health risks and identify SDOH-related barriers and unmet needs
Coordinate care plans and maintain closed-loop communication with patients, PCPs, external providers, and the interprofessional team
Support efforts to decrease hospitalizations, readmissions, and emergency department use
Support patient retention and connection to Medicaid and Medicare benefits
Provide education on preventive health maintenance and routine medical screenings
Assist patients with housing, finances, food, utilities, educational/vocational opportunities, and community supports
Engage community agencies and service providers to support patients
Address substance misuse/abuse with Behavioral Health Clinicians and supports
Use motivational interviewing, harm reduction, positive behavioral support, limit setting, and strengths-based approaches
Provide 1:1 health education for chronic disease self-management
Coach patients in technology literacy and support virtual visits with licensed clinicians
Document all visits with clear, comprehensive, and concise charting in English
Complete tasks within applicable scopes of practice and CCA guidelines
Communicate follow-up plans and identify plans to resolve KPI opportunities
Maintain patient and employee confidentiality
Participate in weekly interprofessional care team meetings and ad hoc case conferences
Collaborate with PCPs, external providers, community agencies, and interdisciplinary CCA teams
Participate in education, training, quality improvement efforts, committees, and workgroups
Assist management and leadership with clinical programs, processes, policies, workflows, and projects
Provide clinical care via telehealth technologies
Perform other duties as assigned

Requirements

What you’ll need

Associates required
Bachelor's preferred
Equivalent years of relevant work experience may be accepted in lieu of required education
Three (3) years 3 + years experience in community-based care required
Five (5) years 5+ years of minimum experience working in outreach or in the community with patients who have high behavioral health needs and high medical complexity
Experience with electronic medical record strongly preferred (eCW) preferred
Excellent written and verbal communication skills
Working knowledge of Microsoft Office applications
Excellent organizational skills
Ability to utilize an Electronic Medical Record
Ability to use on-line training platforms
Demonstrated understanding of Mass Health benefits
Ability to review welcome packets and obtain consent forms
Demonstrated understanding of LTSS
Proven skills and judgment necessary for independent decision making
Strong organizational, time management and problem-solving skills
Ability to function effectively within a multi-disciplinary team
Strong interpersonal and customer relations skills
Comfort working with DME vendors, verifying accuracy of products and quotes
Demonstrated proficiency with Microsoft Excel, Word, and Outlook
Willing to learn and utilize telehealth technologies (video, chat, etc.)
Must have valid driver's license, vehicle and verifiable insurance
Successful clearance of a driver's license record check
Influenza vaccination is a requirement of this position
Successful clearance of a criminal background check

Benefits

Comp & perks

Bonus tied to company and individual performance
Substantial and comprehensive total rewards package
Annual Influenza vaccination provided/required as a condition of continued employment
Reasonable accommodations for qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law
Ongoing education and training to improve skills and role-specific certifications or specialization