Community Health Worker

• Conduct home visits with Aetna members with chronic conditions
• Reinforce care-plan adherence and adapt tasks to members’ culture, language, and religion
• Educate healthcare professionals and providers about social determinants of health
• Build relationships with members, providers, nurse case managers, agencies, supervisors, and office staff
• Reduce cultural and socioeconomic barriers between clients and institutions
• Assist with care-plan implementation, member education, care-management strategies, and community linkages
• Help members identify socioeconomic issues and develop health/social management plans and goals
• Identify care-system gaps and help members access community services and eligible programs
• Schedule social-service appointments and assist with applications
• Support medication adherence, medication reviews, and refill acquisition
• Teach disease self-management, including nutrition and symptom tracking
• Accompany members to appointments as needed
• Maintain electronic health records, compile reports, complete progress notes and letters, and perform administrative duties
• Travel extensively to client homes, community locations, agencies, and outreach destinations

• Serve as a bridge between Aetna members and the healthcare system through outreach and education
• Conduct home visits with members with chronic conditions and reinforce care-plan adherence
• Adjust services to members’ culture, language, and religion
• Identify healthcare needs, improve access to care, and reduce unnecessary hospitalizations
• Educate healthcare professionals and providers about social determinants of health
• Build and maintain relationships with members, providers, nurse case managers, agencies, supervisors, and office staff
• Reduce cultural and socioeconomic barriers between clients and institutions
• Assist with care-plan implementation, member education, and care-management strategies
• Link members to health and social services and help identify management plans and goals
• Identify care-system gaps and help members use community services, schedule appointments, and complete program applications
• Support medication adherence by reviewing medication lists and assisting with refills
• Teach disease self-management, including nutrition and symptom tracking
• Accompany members to appointments as needed
• Maintain member records in electronic health records, compile reports, complete progress notes and letters, and perform administrative duties
• Travel extensively to client homes, community locations, agencies, and outreach destinations
• Work under the direction of a designated professional

Community Health Worker – Field

• Serve as a bridge between Aetna members and the healthcare system through outreach and education
• Conduct home visits with members who have chronic conditions
• Reinforce care-plan adherence and adapt tasks to members’ culture, language, and religion
• Educate healthcare professionals and providers about social determinants of health affecting members
• Build and maintain relationships with members, providers, case managers, agency representatives, supervisors, and office staff
• Reduce cultural and socioeconomic barriers between clients and institutions
• Assist with care-plan implementation, member education, and care-management strategies
• Link members to health and social services and help identify socioeconomic issues affecting health
• Identify gaps in community care systems and assist members with community services, appointments, transportation vendors, and program applications
• Support medication adherence by reviewing medication lists and helping members obtain refills
• Teach disease self-management, including nutrition and symptom tracking/reporting
• Accompany members to appointments as needed
• Maintain member records in electronic health record systems and complete progress notes, letters, reports, and other documentation
• Travel extensively to client homes, community locations, agencies, and outreach destinations

• Conduct chronic disease care management, including depression and anxiety
• Provide patient follow-up services, document outcomes, educate patients, and facilitate support groups
• Mentor and coach less experienced Community Health Workers during certification training
• Assess and address patient needs in person and by telephone
• Coordinate patient care across health systems and navigate community resources
• Advocate for patients and community members
• Provide community health education and outreach to individuals, families, and local agencies
• Assist with health fair events
• Provide culturally aware social support and motivational support
• Coach patients on self-management and goal setting
• Track and maintain a database of community outreach activities for grant reporting
• Adapt communication and service delivery to specific patient populations
• Remain knowledgeable about applicable laws, accreditation standards, and regulatory requirements
• Report known or suspected unethical, safety, privacy, or compliance concerns

• Conduct chronic disease care management, including depression and anxiety
• Provide patient follow-up services and document patient outcomes
• Educate patients and facilitate support groups
• Mentor and coach less experienced Community Health Workers during certification training
• Assess and address patient needs in person and by telephone
• Coordinate patient care across health systems and navigate community resources
• Advocate for patients and community members
• Provide community health education and outreach to individuals, families, and local agencies
• Assist with health fair events
• Provide culturally aware social support and motivational support
• Act as a health care coach, including self-management support and goal setting
• Track and maintain a database of community outreach activities for grant tracking and reporting
• Adapt communication and service explanations to specific patient populations
• Maintain compliance with applicable laws, standards, and regulations
• Report known or suspected unethical, safety, privacy, or compliance concerns