Community Health Worker- Field

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

The Aetna Better Health of West Virginia (ABHWV) plan has a successful, 26+ year history of partnering with the State to provide West Virginia's Medicaid population with top-notch health care coordination and service. The plan has also been chosen to provide care coordination to complex foster care children of the state. Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, ABHWV has successfully assisted the State in achieving high quality standards and outcomes for the Medicaid population across the state. The health plan truly embodies the commitment of West Virginians helping West Virginians.

At ABHWV, as a Community Health Worker (CHW) you will join strong teams committed to helping our members and have opportunities for career growth.

The Community Health Worker (CHW) role is a full-time field teleworker position that requires West Virginia residency. Travel with personal vehicle is required 70% of the time or more in the Northern regions of the state, and mileage is reimbursed per company expense reimbursement policy. Field-based travel locations may include but are not limited to member homes, residential treatment facilities, shelters, group homes, and community settings. This role is heavily community-based with opportunities to serve as a bridge between the member, community, and the healthcare system. CHWs address any gaps in care by connecting members with providers and community resources or services to overcome barriers to their well-being. Through outreach, education, and advocacy, they promote better health outcomes and coordination of care.

CHWs of ABHWV work with all ages in our Medicaid population, which includes youth in our Children's Specialty program. This program includes foster and child welfare youth and families, along with adopted members, Children with Special Health Care Needs (CSHCN), Children with Serious Emotional Disturbances (CSED) waiver recipients, and youth involved with the Department of Juvenile Justice.

Core standard business hours are 8am to 5pm EST, Monday through Friday, with flexibility to work outside of business hours as needed based on member availability. A flexible work schedule may be available after six months of service and demonstrated performance and attendance.

Conduct home visits with Aetna members to assist with needs, including but not limited to locating community resources, scheduling appointments, completing applications for eligible programs, arranging transportation, and educating on services, medications, conditions, etc.

Complete telephonic and/or email outreach to members, agencies, care providers, community organizations, etc. Collaborate with care team participants, including but not limited to care manager, department workers, legal or custodial guardians if applicable, healthcare providers, community partners, etc.

Assess any gaps in care or social determinants of health that may be impeding care or overall well-being and formulate interventions to address any identified areas of need.

Connect with various community organizations and partners regarding resource availability and eligibility to support member needs.

Document all member outreach and care coordination in electronic health record system in accordance with market processes and maintain the member record to ensure compliance.

Maintain member confidentiality and protected health information (PHI) according to HIPAA policies and company guidelines.

Travel extensively (70% of the time or more via personal vehicle) to member homes, community locations, various agencies, etc.

High School Diploma /G. 2+ years relevant experience (i.e. healthcare, community-based, social services, case management, etc.).

• Demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
• Must possess reliable transportation, valid/active driver's license, and proof of vehicle insurance with ability to travel up to 70% of the time to various locations within the region using personal vehicle. Mileage is reimbursed per company expense reimbursement policy.

Experience in community/outpatient setting preferred.

Experience in serving the Medicaid Populations in urban or rural environments with knowledge of local formal and informal resource networks preferred.

Community Health Worker Certification or equivalent training and experience preferred.

Experience with complex children/adolescent populations (to include but not limited to: complex physical health, adoption, juvenile justice and foster care experience), the delivery of behavioral health services, and evidence-based practice preferred.

Experience with high-risk, chronic physical and/or behavioral health conditions and interventions (such as experience working in a clinic, provider office, hospital, etc.).

High School Diploma /G.Work from Home Requirements:

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• VPN, EHR portal, lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Full time Pay Range
• 18.50 - $31.72 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.