CalAIM Community Health Worker

Job DescriptionJob DescriptionCommunity Health Worker (CHW) – Field-Based (CalAIM Program)Schedule: Monday – Friday | 8:30 AM – 5:00 PMWork Structure: Approximately 65% field-based / 35% remote Compensation: $21.00 – $24.00 per hour FLSA Status: Non-ExemptLocation: 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 engagementTravel within assigned county to meet members and community partnersSupport health education, care navigation, and resource coordinationFacilitate group sessions and community-based activitiesDocument services and interactions in real-timeThis role requires strong time management, independence, and comfort working in diverse, community-based environmentsWhat You’ll DoDirect Member Services & Care CoordinationConduct comprehensive assessments and develop Plans of CareProvide ongoing support and follow-up with membersAssist members with care navigation, appointments, and service coordinationSupport transitions of care and continuity of servicesHealth Education & NavigationDeliver health education and coaching to improve self-managementAssist members in understanding healthcare systems and accessing servicesAddress barriers such as transportation, language, and access to careCommunity Outreach & EngagementConduct outreach to identify and engage high-risk, hard-to-reach populationsParticipate in community events, wellness fairs, and outreach initiativesCoordinate mobile health clinics, vaccination drives, and community activitiesBuild trust within the community and support program awarenessGroup Facilitation & EducationFacilitate group sessions and workshops on health-related topicsProvide education on prevention, mental health, substance use, and wellnessSupport community-based learning and engagement initiativesAdvocacy & Support ServicesAssist members with enrollment in public assistance programsProvide advocacy to improve access to care and servicesSupport members in navigating complex healthcare and social systemsDocumentation & CollaborationMaintain accurate, timely documentation of all services and interactionsComplete required reporting and billing documentationCollaborate with interdisciplinary teams including RNs and licensed providersParticipate in case conferences and team meetingsHow Success Is MeasuredMember engagement and successful service deliveryTimely and accurate documentationCompletion of required assessments and care plansOutreach activity and community engagementAbility to manage caseload and service requirements effectivelyCompliance with Medi-Cal and CalAIM program standardsWho Thrives in This RoleIs passionate about working in the community and helping underserved populationsIs comfortable working independently in the fieldBuilds trust easily and connects with diverse populationsIs proactive, resourceful, and solution-orientedThrives in fast-paced, community-based environmentsEqual 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.RequirementsMinimum QualificationsHigh school diploma or equivalent; Associate’s or Bachelor’s degree preferredMinimum of 2 years of experience in community health, social services, or related fieldStrong understanding of community resources and social determinants of healthExcellent interpersonal, communication, and engagement skillsProficiency in electronic health records and basic computer systemsBilingual skills preferred (Spanish or other relevant languages)Must be proficient in technology, including documentation systems, EHR platforms, and communication toolsAbility to document in real-time and manage multiple systems effectivelyWork RequirementsAbility to travel extensively within assigned countyMust reside within assigned service areaAbility to work occasional evenings or weekends for community eventsAbility to work in a hybrid, field-based environmentAdditional RequirementsPossess a valid California Driver’s License (Class C minimum)Maintain a personal, operable vehicle for daily business useMaintain current liability insurance that meets California’s minimum legal requirementsMust pass a Motor Vehicle Report (MVR) background check prior to employmentBenefitsCompensation & BenefitsHourly Pay: $21.00 – $24.00 per hourMonthly stipend160 hours PTO + paid sick time11 paid holidays (including birthday and floating holiday)4 paid volunteer hours per month90% employer-paid employee-only medical benefitsFlexible Spending Account (FSA)Short-term & long-term disability, AD&DEmployee Assistance Program (EAP)401(k) with company matchProfessional development opportunitiesQuarterly in-person eventsEmployee discount programs