Community Health Worker

Job Description

Job Description

About Us:

Homebridge serves a high risk, high needs, complex-diagnosed population with a combination of domestic, personal, and homecare functions funded through IHSS. Our work allows an often-underserved population to live safely in their community. Homebridge offers a dynamic, fast-paced work environment with 420+ unionized field workers and 100+ internal office staff.   

Position Summary:

The Community Health Worker (CHW) plays a vital role in improving the overall health and well-being of individuals and families in the community. They leverage their lived experiences to connect with, support, and encourage those they serve, acting as a liaison between healthcare providers, patients, and community resources. The CHW works in community settings to support underserved and vulnerable populations, helping to navigate complex systems, offer informal counseling, advocate for patient needs, and provide basic health services. They advocate on behalf of individuals by providing referrals to community-based organizations and social services that offer programming and support aligned to their needs, and complete screenings and assessments required to connect clients with appropriate services that support their health and well-being.

Essential Duties and Responsibilities:

Community Health Care Track 

• Providing personal care and domestic support to older adults and people with disabilities facing gaps in care
• Supporting clients to connect with, engage, and navigate the health care system
• Facilitating access to appropriate medical and behavioral health support by connecting clients with appropriate clinicians, scheduling and providing accompaniment for appointments and follow ups, and supporting with medication management
• Maintaining communication between various members of the client’s Care Team

Social Work Track 

• Working closely with on-site staff and other service providers supporting the client to understand their specific needs and available resources
• Identifying factors or behaviors that put the client’s holistic health (physical, mental/behavioral, social, financial, environmental, spiritual, etc) at risk and developing goals and plans in cooperation with the client to address these needs
• Designing and leading sessions that encourage development of independent living/adaptive skills such as use of public transport, inter-personal skills development, and daily living skills (cooking, cleaning, shopping, money management)
• Providing health education and sharing resources that support clients to make healthy lifestyle choices

Sustained Housing Track 

• Identifying behaviors that put housing at risk and developing strategies to mitigate them.
• Educating and coaching members about behavior changes that will promote stability in housing.
• Creating and updating housing crisis plans.
• Connecting members to community and social resources to support sustained housing.
• Advocating for members with landlords and building management.

Other duties for CHWs

• Reaching out to potential clients and explaining the benefits of Homebridge services
• Assessing clients' needs and supporting the creation of a care plan with goals related to improving client’s health.
• Providing wrap-round services that improve clients' health and well-being
• Assisting clients to safely navigate transitions in care.
• Identifying and leveraging clients' strengths and support systems to promote self-management.
• Connecting with and educating client's family and social support systems to enable them to better support the client's health.
• Referring clients to social and community services that help them meet their needs and reach their goals.

Qualifications:

• High school diploma or equivalent required
• State-recognized CHW/P/R Certificate or at least 2000 hours/1 year of full-time work as a CHW/P/R required. 
• 1–2 years’ experience in community-based or healthcare settings preferred.
• Strong computer skills, including Microsoft Office 365 and database navigation.
• English proficiency in reading, writing, and speaking required.
• Bilingual preferred but not required.
• Familiarity with local community and available resources.
• Experience with electronic medical records (EMRs) preferred.
• Ability to work independently and within a diverse, multicultural team.
• Strong organizational skills with the ability to maintain confidentiality and boundaries.

Physical Requirements:

• Ability to sit, stand, and walk for extended periods.
• May require occasional lifting up to 25 lbs.
• Must be able to read and interpret handwritten documents and digital information.

Work Environment:

• Fast-paced office and community-based environment.
• Frequent interruptions, direct client interactions, and occasional travel required.
• Work may include visits to homes, community centers, or clinics.

Homebridge is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.