CalAIM Community Health Worker

Job Description

Job Description

Community Health Worker (CHW) – Field-Based (CalAIM Program)
Schedule : Monday – Friday | 8:30 AM – 5:00 PM
Work Structure : Approximately 65% field-based / 35% remote                            
Compensation :  $21.00 – $24.00 per hour
FLSA Status : Non-Exempt
Location : Hybrid – Field Based (County-Based Assignment)

At Pacific Health Group, we are at the forefront of revolutionizing healthcare, and you will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services through our CalAIM programs.

The Community Health Worker (CHW) serves as a vital link between healthcare systems and vulnerable populations, supporting members through direct engagement, education, and coordination of services that improve overall health and stability.

About Pacific Health Group
Pacific Health Group is committed to improving health outcomes through community-based care, addressing the full spectrum of social determinants of health. Our teams work directly in the field to support underserved populations and ensure members receive the care, resources, and advocacy they need to thrive.

What This Role Looks Like (Day-to-Day Reality)

• Spend approximately 65% of your time in the field (homes, community sites, events)
• Conduct outreach, assessments, and direct member engagement
• Travel within assigned county to meet members and community partners
• Support health education, care navigation, and resource coordination
• Facilitate group sessions and community-based activities
• Document services and interactions in real-time
• This role requires strong time management, independence, and comfort working in diverse, community-based environments
  

What You’ll Do

Direct Member Services & Care Coordination

• Conduct comprehensive assessments and develop Plans of Care
• Provide ongoing support and follow-up with members
• Assist members with care navigation, appointments, and service coordination
• Support transitions of care and continuity of services

Health Education & Navigation

• Deliver health education and coaching to improve self-management
• Assist members in understanding healthcare systems and accessing services
• Address barriers such as transportation, language, and access to care

Community Outreach & Engagement

• Conduct outreach to identify and engage high-risk, hard-to-reach populations
• Participate in community events, wellness fairs, and outreach initiatives
• Coordinate mobile health clinics, vaccination drives, and community activities
• Build trust within the community and support program awareness

Group Facilitation & Education

• Facilitate group sessions and workshops on health-related topics
• Provide education on prevention, mental health, substance use, and wellness
• Support community-based learning and engagement initiatives

Advocacy & Support Services

• Assist members with enrollment in public assistance programs
• Provide advocacy to improve access to care and services
• Support members in navigating complex healthcare and social systems

Documentation & Collaboration

• Maintain accurate, timely documentation of all services and interactions
• Complete required reporting and billing documentation
• Collaborate with interdisciplinary teams including RNs and licensed providers
• Participate in case conferences and team meetings

How Success Is Measured

• Member engagement and successful service delivery
• Timely and accurate documentation
• Completion of required assessments and care plans
• Outreach activity and community engagement
• Ability to manage caseload and service requirements effectively
• Compliance with Medi-Cal and CalAIM program standards

Who Thrives in This Role

• Is passionate about working in the community and helping underserved populations
• Is comfortable working independently in the field
• Builds trust easily and connects with diverse populations
• Is proactive, resourceful, and solution-oriented
• Thrives in fast-paced, community-based environments

Equal Employment Opportunity
Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.
At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.

Pre-Employment Requirements
Employment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.

AI & Human Interaction (HI) in Recruitment
Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.
All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration.

Requirements

Minimum Qualifications

• High school diploma or equivalent; Associate’s or Bachelor’s degree preferred
• Minimum of 2 years of experience in community health, social services, or related field
• Strong understanding of community resources and social determinants of health
• Excellent interpersonal, communication, and engagement skills
• Proficiency in electronic health records and basic computer systems
• Bilingual skills preferred (Spanish or other relevant languages)
• Must be proficient in technology, including documentation systems, EHR platforms, and communication tools
• Ability to document in real-time and manage multiple systems effectively

Work Requirements

• Ability to travel extensively within assigned county
• Must reside within assigned service area
• Ability to work occasional evenings or weekends for community events
• Ability to work in a hybrid, field-based environment

Additional Requirements

• Possess a valid California Driver’s License (Class C minimum)
• Maintain a personal, operable vehicle for daily business use
• Maintain current liability insurance that meets California’s minimum legal requirements
• Must pass a Motor Vehicle Report (MVR) background check prior to employment

Benefits

Compensation & Benefits

• Hourly Pay: $21.00 – $24.00 per hour
• Monthly stipend
• 160 hours PTO + paid sick time
• 11 paid holidays (including birthday and floating holiday)
• 4 paid volunteer hours per month
• 90% employer-paid employee-only medical benefits
• Flexible Spending Account (FSA)
• Short-term & long-term disability, AD&D
• Employee Assistance Program (EAP)
• 401(k) with company match
• Professional development opportunities
• Quarterly in-person events
• Employee discount programs