Community Health Worker, SDoH

Maryland Primary Care Physicians

. Conduct intake interviews and complete Social Determinants of Health assessments .

Posted 9/18/2026full-timeMaryland • United StatesJuniorMid-Level💰 $62,000 - $67,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting Social Determinants of Health assessments and developing individualized health management plans. Proficient in collaborating with community organizations and navigating social services to address client needs and barriers to care.

Highest-signal resume keywords

Social Determinants Of Health AssessmentCommunity Support Worker CertificationBilingual English/SpanishInterpersonal Communication SkillsExperience With Medicaid Population

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Client Care PlanningHealth Management PlansDocumentation Of Client EncountersKnowledge Of Community AgenciesMulti-System Outreach Programs

Soft Skills

Strong Interpersonal SkillsAdvocacy SkillsRelationship Building

Tools & Technologies

Electronic Client FilesMonthly Reporting Systems

Certifications & Qualifications

Community Support Worker (CSW)Certified Peer Support Worker (CPSW)

Industry Keywords

MedicaidHealth Care DeliverySocial ServicesCultural BarriersSocioeconomic Issues

About the role

Key responsibilities & impact

Conduct intake interviews and complete Social Determinants of Health assessments
Explain the program and its impact on clients' well-being
Help patients identify socioeconomic issues affecting health and develop health/social management plans and goals
Assist clients in accessing social services and addressing barriers to care
Partner with community organizations, governmental agencies, and local resources
Document client encounters, activities, service plans, and outcomes
Complete and submit monthly reports and maintain comprehensive electronic client files
Assist patients in understanding care plans and instructions
Provide support and advocacy during medical visits and referrals
Assist clients with community services, appointment scheduling, and program applications
Build positive working relationships with clients, providers, nurse case managers, agency representatives, and office staff
Reduce cultural and socioeconomic barriers between clients and institutions
Maintain confidentiality of member records according to MPC policies and procedures
Work in clinical and community-based settings, including client homes

Requirements

What you’ll need

Located in Montgomery or Prince George's County, Maryland
High school diploma or GED
2 years experience in serving the Medicaid population, preferably in the MD/DC area
Strong interpersonal and communication skills
Knowledge of community agencies and resources
Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services
Ability to plan, implement, and evaluate individual client care plans
Knowledge of transportation and other barriers to care
Ability to communicate medical information to health care professionals and care coordinators over the telephone
Bilingual English/Spanish speaker preferred
Community Support Worker (CSW) or Certified Peer Support Worker (CPSW) certification preferred
Must be available and willing to travel 50-75% to onsite locations throughout PG/Moco MD
Must be fully vaccinated; proof of vaccination required for patient care or clinical areas

Benefits

Comp & perks

Medical, dental, and vision plans
100% employer Term Life Insurance
Short and Long-Term Disability
401k Employer Match up to 4%
20 days of PTO
Tuition assistance/professional development plans
Multiple work arrangements/flexibility
Organizational-wide social opportunities