Community Health Worker – Field

This is a fully remote position, open to applicants in Virginia, +1 more state.

📋 Description

• Conduct visits to the homes of Aetna members to provide assistance with community resources, appointments, applications for eligible programs, transportation, and education regarding services, medications, and health conditions.

• Perform outreach via phone and email to members, agencies, care providers, and community organizations concerning member needs and care.

• Collaborate effectively with care managers, department personnel, legal or custodial guardians, healthcare providers, and community partners.

• Evaluate care gaps and social determinants of health, formulating appropriate interventions.

• Engage with community organizations and partners to discuss resource availability and eligibility.

• Adapt to diverse and unpredictable member home and community environments.

• Record outreach and care coordination activities in the electronic health record while ensuring member records are compliant.

• Uphold member confidentiality and protected health information in accordance with HIPAA regulations and company policies.

• Independently manage, problem-solve, and prioritize tasks to achieve deliverables and meet deadlines.

• Provide support to individuals from various cultural and socioeconomic backgrounds.

• Travel extensively, utilizing a personal vehicle for 70% or more of the travel to member homes, community locations, and agencies.

• Act as a liaison between members, communities, and the healthcare system through outreach, education, advocacy, and care coordination.

• Work with Medicaid populations across all age groups, including children and youth in specialized programs.

⛳️ Requirements

• Residency in West Virginia is required.

• Candidates must live in one of the following counties: Lewis, Upshur, Barbour, Harrison, Taylor, Marion, Monongalia, Wetzel, Tyler, Doddridge, Pleasants, Ritchie, Marshall, Ohio, Brooke, or Hancock.

• A High School Diploma/G.E.D. or higher is mandatory.

• A minimum of 2 years of relevant experience in healthcare, community-based services, social services, case management, or related fields is required.

• Completion of an approved Community Health Worker (CHW) certification program within 12 months of hire is necessary.

• Proficiency in using personal computers, keyboard navigation, multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint) is expected.

• Reliable transportation, a valid/active driver’s license, and proof of vehicle insurance are essential.

• Ability to travel up to 70% of the time to various locations within the region using a personal vehicle is required.

• A direct or hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload is necessary.

• WiFi and satellite internet connections are not permissible.

• A quiet, secure, and private home office space that complies with CVS Health and HIPAA guidelines is required.

• Must be capable of working within the state and city of residence.

• Proficiency in using multiple monitors and navigating several applications simultaneously is essential.

• Ability to communicate through email, calendar invites, Teams messaging, and virtual meetings is necessary.

• Experience with Microsoft Office 365 applications or comparable Google Workspace applications is required.

• Ability to log into secure systems such as VPN and EHR portals, lock computer screens, manage strong passwords, and identify suspicious emails or links is expected.

• Capability to troubleshoot common technical issues independently and escalate unresolved issues to IT is necessary.

🏝️ Benefits

• Mileage reimbursement as per company expense reimbursement policy.

• A flexible work schedule may become available after six months of service, contingent on demonstrated performance and attendance.

• Equipment provided by the company (keyboard, monitor, computer, headset, etc.).

• Comprehensive medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Access to wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.

• Participation in the CVS Health bonus, commission, or short-term incentive program, in addition to base pay.