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Healthcare

Community Health Worker

CVS Health (Aetna)
Location

LA - Work from home · Remote

Type

Full-time

Level

Mid level

Posted

22 hours ago

Verified apply link — checked 3 hours ago

Salary undisclosed

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Before you apply

Job source
Workday
Applying on
cvshealth.wd1.myworkdayjobs.com
Workplace
Fully remote
US state
LA
Category
Healthcare
Link last checked
3 hours ago
Posted
22 hours ago
Closes
No stated closing date
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About the role

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. Position Summary The Community Health Worker (CHW) serves as a vital link between members, healthcare providers, and community resources. Working under the direction of a designated healthcare professional, the CHW supports members in achieving improved health outcomes by addressing social determinants of health, promoting member engagement, reinforcing care plans, and facilitating access to healthcare and community services. This role requires extensive field work and travel within the assigned service area. The ideal candidate will possess case management experience, strong customer service skills, exceptional communication abilities, and a passion for helping individuals navigate complex health and social service systems. What You Will Do Member Outreach & Care Coordination Conduct home visits with members to reinforce care plans and encourage healthy behaviors. Assist members in identifying healthcare and social needs that impact their overall well-being. Support care plan implementation and collaborate with care management teams to address member needs. Develop individualized strategies to improve member engagement and health outcomes. Assist members with transportation arrangements and referrals to community resources. Health Education & Advocacy Educate members on disease self-management, including nutrition, symptom monitoring, medication adherence, and preventive care. Review medications with members and assist in obtaining refills when appropriate. Promote understanding of treatment plans and encourage active participation in healthcare decisions. Advocate for members and work to reduce cultural, linguistic, socioeconomic, and healthcare access barriers. Community Resource Navigation Connect members with social service agencies, community organizations, and support programs. Assist with completing applications for eligible services and benefits. Identify gaps in community resources and opportunities to improve local systems of care. Maintain knowledge of local community resources and support networks. Provider & Stakeholder Collaboration Build and maintain positive relationships with members, providers, nurse case managers, caregivers, community agencies, and internal partners. Educate providers and community organizations regarding social determinants of health and their impact on member outcomes. Collaborate with interdisciplinary teams to coordinate care and resolve member barriers. Documentation & Compliance Accurately document member interactions, assessments, and interventions in electronic health record systems. Complete progress notes, reports, care coordination activities, and required documentation timely and in compliance with regulatory standards. Adhere to HIPAA requirements, organizational policies, and all applicable regulatory guidelines. Meet established productivity, quality, and performance metrics. Required Qualifications High School Diploma or GED. Minimum of 3-5 years of relevant healthcare, social services, care coordination, or case management experience. Previous experience working within a Managed Care Organization (MCO) preferred or related healthcare setting. Minimum of 1-2 years of experience providing clinical support services. Minimum of 1 year of community outreach experience and knowledge of Louisiana community resources. Minimum of 1 year of experience working with individuals with physical and/or behavioral health needs. Strong case management and care coordination skills. Excellent customer service orientation and problem-solving abilities. Except

About CVS Health (Aetna)

CVS Health (Aetna) is hiring remote talent through Remote Me. All listings are vetted for legitimacy.