The Hampton Roads Community Health Center is looking for a Community Health Worker responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. 

Coordinate patient care and build individual and community health knowledge and self-sufficiency through a range of patient-centered services that link patients with healthcare, psychosocial, and other services outreach, education, informal counseling, social support, and advocacy; collect and sharing information about available community resources and services; and assist patients to obtain appropriate services for which they qualify and of which they are in need.

Responsible for build trusting relationships with clients and to connect those clients to care, eliminating barriers and advocating for systemic changes; work to guide patients through chronic health conditions such as hypertension, diabetes, asthma; and encourage cultural competence among health care professional serving vulnerable and underserved populations. 

Provide customized assistance to improve clients’ access to care through strategies like transportation assistance, telehealth, chronic health education, referrals to mental health resources, general wellness education, accompanying patients to appointments if necessary, and assisting with forms and applications; documents the outcomes of patient referrals; follows up with patients and agencies as appropriate.

Assist with scheduling and coordinating transportation as needed for health care appointments; administers various screening tools and other evidenced-based screening tools to identify service needs; participates in meetings with other entities as appropriate to facilitate and enhance the community health center. 

Identify creative solutions to patient barriers that may require innovative thinking to locate appropriate resources; provides input and recommendations to internal team members regarding barriers to care and how to address equity challenges; and works closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.

Serves as a case manager for Uniform Data System (UDS) reporting for Health Resources and Services Administration (HRSA); community connection point for residents and patients regarding services and community opportunities; advocates for patients when interacting with healthcare systems and partner services; coaching patients how to navigate services and other services independently by becoming advocates for their own care; encourages patients to model behaviors such as checking on appointments and arranging assistance.

Performs other duties as assigned.

High School Diploma or GED, and three (3) years of related community health care experience, case management, or other related experience. Must become a Certified Community Health Worker (CCHW) through the Virginia Certification Board within six (6) months of hire. Knowledge of the healthcare industry and supporting resources for increasing access to healthcare is required. The ability to speak both English and Spanish fluently is highly desirable.

Required Knowledge

• Technology — Knowledge of general office equipment and personal computers to include word processing, spreadsheet, and related software. Comprehensive knowledge of office systems, practices, procedures, and administration.
• Social Determinants of Health – Knowledge of the conditions in which people are born, grow, work, and live as well as the wider forces and systems shaping the conditions of daily life.

Required Skills

• Computer Skills – Utilizes a personal computer with word processing, spreadsheet, and related software to effectively complete a variety of financial tasks with reasonable speed and accuracy.
• Time Management - Plans and organizes daily work routine. Estimates expected time of completion of elements of work and establishes a personal schedule accordingly. Implements work activities in accordance with priorities and estimated schedules.
• Interpersonal Relationships – Develops and maintains cooperative and professional relationships with employees and all levels of management to include representatives from other departments and organizations.

Required Abilities