Community Health Worker ( Hybrid- Wake/Cumberland Counties, North Carolina)

Job Details Posting Details Posted on October 19, 2026 Locations Wake Office Raleigh, NC 27609, USA Hybrid Care Management Full-Time Requisition #: COMMU003605 Description The Community Health Worker uses engagement strategies and strong community connections to assess and assist members to identify and seek resources that support their unmet health needs, while providing education on, and connection to their benefits. Connecting with members in the community is an essential requirement for building relationships and trust with members. Additionally, this position functions as a consultant within the Care Team to address barriers related to unmet health needs. This is a full-time hybrid opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office for business meetings as needed. The successful candidate may be required to travel within the Alliance communities throughout Wake and Cumberland counties as needed. Responsibilities & Duties- Assessment Complete SDOH assessments (and reassessments), such as, not limited to, Care Needs Screening and Healthy Opportunities Review completed SDOH assessments and/or update activities to address SDOH needs that emerge when completing plan of care (POC) activities Assist members with engaging additional services/community resources such as the Community Inclusion Planning Meeting (CIPM) prior to closing a POC As applicable, assess member awareness of and connection with Competitive Integrated Employment, or like supported employment services and programs Member Engagement & Education Meet members where they are; emotionally, socially, intellectually, and physically Provide face to face and field/community-based support to each member (metrics for minimum required in-person engagement) Support members to complete processes to access resources and supports, as applicable Support members in understanding how to utilize resources and supports provided, as applicable Support SDOH barriers to accessing care Support health promotion, as applicable Partner with the member and care team to identify goals and member centered plan As applicable, educate members on engage them into care coordination or care management supports Facilitate and Ensure Connection to Resources that Meet Member Needs Identify, problem solve, and work to overcome support needs for members regarding social determinants of health Submit referrals, and track outcomes, in NCCARE360 Platform to connect members to community service providers Support member with completion of applications for, to include, but not limited to, housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resources Support member to become an engaged and active member in their community (eg. community organizational membership, relationships with neighbors, building of non-paid social network) Review eligibility and linkage to all internal programs including but not limited to flex funds, independent living initiative (ILI), other housing programs, the CIPM, and facilitate community inclusion planning with Community Health and Well-Being Department As applicable, refer member for assessment of eligibility for Competitive Integrated Employment, or like supported employment services and programs, and connect member to services and programs, as applicable Collaboration Attend meetings related to care planning and resolving SDOH needs Collaborate with primary Care Manager regarding new needs identified in the referral process and discuss incorporation into plan of care Work within the organization to leverage programs and interventions to maximize member experience and to build social capital in member’s community of choice Develop in depth knowledge of various community systems and provide consultation and technical assistance to MCO clinical departments regarding available resources Collaborate with providers and providers of care management services to Alliance members Represent Alliance in System of Care activities to ensure an integrated System of Care approach for child and adult service systems Support Community Engagement team at Alliance, for community capacity network building and resource development Provide Benefits Consultation to Members Ensure members know what benefits they are eligible to receive Assist members to enroll in benefit plans Communicate with Medicaid and Medicare benefit program Case Managers to resolve issues Assist with Medicaid enrollment and work with DSS to address enrollment issues Notify DSS of benefit issues and develop action plan to resolve Documentation Maintain medical record compliance/quality Ensure timely documentation of Care Coordination activities as required by department policy and procedures Document in the CM Platform System (Jiva) and in the Statewide SDOH Platform (NCCare360 Platform); other systems as identified Monitor and Review Health Opportunity Assessment and Authorization Data in NCCARE360 Support/add to existing plan of care or create one with the member, as applicable, within the CM Platform Compliance Comply with organizational and departmental Policies, Procedures, Processes, Workflows and Fidelity of Service Engagement Model Knowledge, Skills, & Abilities- Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans Knowledge of community specific financial planning resources Knowledge of regulations and statutes specific to 1915(b) and (c) waiver services including licensure type required for facility-based services, and staffing and supervision requirements (LTS and TBI Care Managers only) Knowledge of and skilled in the use of Motivational Interviewing techniques Strong interpersonal and written/verbal communication skills Conflict management and resolution skills High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers. Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans Detail oriented, Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required Must demonstrate flexibility and adaptability. Required Education & Experience- Required : High school diploma or GED and a minimum of two (2) years of experience working with individuals with behavioral health needs, OR minimum of four (4) years lived experience in navigating any of the Mental Health, Public Health, Social Service, and/or Justice systems. Other relevant experience may be considered including areas of recovery focus. Associate’s in human services and a minimum of two (2) years of experience working with individuals/with behavioral health needs. NC Community Health Worker Certification is required within 12 months of hire. Preferred : Completion of training and/or documented knowledge of WRAP; Person-Centered Thinking; WHAM (Whole Health Action Management), Trauma Informed Care; MH First Aid; IPS-SE; Community Inclusion/Integration; Harm Reduction; Recovery Model preferred. Special Requirements- Valid NC Driver license NC Community Health Worker Certification within 12 months of hire Salary Range $26.27-$34.14/Hourly Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Fringe Benefits Medical, Dental, Vision, Life, and Long-Term Disability coverage Generous retirement savings plan Flexible work schedules, including hybrid and remote options Paid time off, including vacation, sick leave, holidays, and management leave Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Record) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Qualifications Education Preferred Bachelors or better in Human Services. Licenses & Certifications Required CHW Certification-NC Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Alliance