Community Health Worker

• Conduct outreach to patients referred by participating FQHC clinics and explain the Path Assist program.
• Engage eligible patients and complete consent, intake, assessments, and enrollment activities.
• Identify patient goals and barriers; document support and follow-up.
• Maintain regular participant contact based on need and program requirements.
• Support appointment preparation, follow-up, recommended services, and healthcare-team next steps.
• Track goals, tasks, referrals, and progress throughout enrollment.
• Support use of CareLink Navigate for secure communication, reminders, education, goal tracking, and resource navigation.
• Assess technology comfort, connectivity, digital literacy, and telehealth readiness.
• Support telehealth scheduling, reminders, visit preparation, technology setup, and connectivity troubleshooting.
• Coach patients on smartphones, patient portals, video platforms, and approved digital tools.
• Provide chronic disease self-management education and coaching using approved materials.
• Use motivational interviewing, health coaching, and goal-setting techniques.
• Screen for health-related social needs and refer patients to Utah 211 and relevant community resources.
• Help patients address practical barriers to health and social care access.
• Document outreach, assessments, care-plan goals, referrals, interventions, follow-up, and outcomes in CareLink accurately and promptly.
• Collaborate with clinic staff on referrals, communication, and care coordination.
• Communicate patient barriers and care-coordination needs to authorized clinic staff.
• Follow clinical escalation protocols for concerns outside the CHW scope of practice.
• Participate in clinic huddles, case reviews, implementation meetings, CHW supervision, coaching, continuing education, and performance feedback.
• Build relationships with providers, care teams, community partners, and LIFT program members.
• Support program goals related to enrollment, engagement, screening, referrals, goal-setting, telehealth access, and retention.
• Maintain HIPAA, privacy, security, documentation, and program-policy compliance.
• Perform other duties as assigned.

Explore Community Health Worker – Hybrid at Activate Care. Review requirements and application details.