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Community Health Worker
CVS Health Careers. Conduct home visits with members to reinforce care plans and encourage healthy behaviors.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong case management and care coordination skills, with a focus on member engagement and health outcomes. Proficient in community outreach, documentation, and compliance with regulatory standards while advocating for members' needs.
Highest-signal resume keywords
Case Management SkillsCare Coordination SkillsCommunity Outreach ExperienceMotivational Interviewing SkillsBilingual Language Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare ExperienceClinical Support ServicesDocumentation SkillsKnowledge of Community ResourcesMedication Management
Soft Skills
Customer Service OrientationProblem-Solving AbilitiesCommunication SkillsOrganizational SkillsTime Management Skills
Tools & Technologies
Electronic Health Record SystemsMicrosoft Office ApplicationsMicrosoft TeamsOutlook
Certifications & Qualifications
Community Health Worker CertificationMotivational Interviewing TrainingMental Health First Aid CertificationTrauma-Informed Care TrainingHIPAA Compliance Certification
Industry Keywords
Managed Care OrganizationMedicaid PopulationsSocial Determinants of HealthBehavioral HealthPublic Health
About the role
Key responsibilities & impact- Conduct home visits with members to reinforce care plans and encourage healthy behaviors.
- Assist members in identifying healthcare and social needs impacting their well-being.
- Support care plan implementation and collaborate with care management teams.
- Develop individualized strategies to improve member engagement and health outcomes.
- Assist with transportation arrangements and referrals to community resources.
- Educate members on disease self-management, nutrition, symptom monitoring, medication adherence, and preventive care.
- Review medications and assist with obtaining refills when appropriate.
- Promote understanding of treatment plans and participation in healthcare decisions.
- Advocate for members and reduce cultural, linguistic, socioeconomic, and healthcare access barriers.
- Connect members with social service agencies, community organizations, and support programs.
- Assist with applications for eligible services and benefits.
- Identify gaps in community resources and opportunities to improve local systems of care.
- Maintain knowledge of local community resources and support networks.
- Build relationships with members, providers, nurse case managers, caregivers, community agencies, and internal partners.
- Educate providers and community organizations about social determinants of health.
- Collaborate with interdisciplinary teams to coordinate care and resolve barriers.
- Document member interactions, assessments, and interventions in electronic health record systems.
- Complete progress notes, reports, care coordination activities, and required documentation in compliance with regulations.
- Adhere to HIPAA requirements, organizational policies, and applicable regulatory guidelines.
- Meet productivity, quality, and performance metrics.
- Perform extensive travel to member homes, provider offices, community agencies, and outreach locations within the assigned service area.
Requirements
What you’ll need- High School Diploma or GED.
- Minimum of 3-5 years of relevant healthcare, social services, care coordination, or case management experience.
- Minimum of 1-2 years of experience providing clinical support services.
- Minimum of 1 year of community outreach experience and knowledge of Louisiana community resources.
- Minimum of 1 year of experience working with individuals with physical and/or behavioral health needs.
- Strong case management and care coordination skills.
- Excellent customer service orientation and problem-solving abilities.
- Exceptional verbal, written, and telephonic communication skills.
- Demonstrated motivational interviewing skills and ability to build rapport and trust with members.
- Strong documentation skills and commitment to compliance and regulatory standards.
- Ability to work independently, remain self-motivated, and manage competing priorities.
- Excellent organizational and time management skills.
- Ability to achieve productivity and quality performance metrics.
- Proficiency in Microsoft Office applications, Microsoft Teams, Outlook, and electronic health record systems.
- Flexibility to work variable schedules, including two evenings per week until 9:00 PM local time, based on member needs.
- Previous experience working within a Managed Care Organization (MCO) preferred or related healthcare setting.
- Community Health Worker (CHW) Certification preferred.
- Experience serving Medicaid populations in urban and rural environments preferred.
- Knowledge of local formal and informal community resource networks preferred.
- Experience in community-based, outpatient, public health, behavioral health, or social services settings preferred.
- Training or certification in Motivational Interviewing, Mental Health First Aid, Trauma-Informed Care, HIPAA Compliance, C.L.A.S. Standards, or Medical Terminology preferred.
- Bilingual language skills (Spanish or French) preferred.
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility