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Position Summary
Position: Community Health Worker
Location: Field 75% or more of the time in Middlesex County NJ
Schedule: Mon-Fri 08:0-05:00 PM EST
The Community Health Worker (CHW) will support the implementation of the CHW Pilot designed to address health disparities, improve outcomes, and reduce avoidable utilization among Medicaid members with Type 2 diabetes. This role is critical in addressing identified needs, including high diabetes prevalence and significant social determinants of health (SDoH) risk within targeted counties. The CHW will engage directly with members to improve self-management, enhance access to care and community resources, and support overall health outcomes through culturally appropriate, community-based interventions.
The CHW will serve as a liaison between members, the care management team, providers, and community resources, with a focus on improving member experience, increasing primary care engagement, and reducing emergency department and inpatient utilization.
Position Responsibilities
Conduct telephonic, virtual, and face-to-face outreach and engagement with assigned members.
Maintain an active caseload (approximately up to 30 members), with engagement duration based on member needs.
Complete required screenings and assessments, including initial engagement and health equity screeners within required timeframes.
Develop and implement individualized action plans in collaboration with members and interdisciplinary care teams.
Provide education and support related to Type 2 diabetes management, including medication adherence, nutrition, physical activity, and lifestyle behaviors.
Identify and address gaps in care, supporting members in completing recommended preventive and follow-up services.
Connect members to community-based resources addressing SDoH needs (e.g., food, housing, transportation) and ensure closed-loop referral follow-up.
Assist members in navigating healthcare services, including scheduling and attending primary and specialty care appointments.
Participate in interdisciplinary team meetings and case rounds to support care coordination.
Document all member interactions, outreach attempts, and interventions in designated systems in accordance with program requirements.
Support member engagement in pilot initiatives and services, including education programs, community events, and resource utilization.
Promote positive member relationships and culturally competent care aligned with community needs.
Required Qualifications
Experience working in community health, social services, care management, or related field.
Experience engaging with underserved or high-risk populations.
Strong communication, interpersonal, and engagement skills.
Ability to build trust and maintain relationships with diverse populations.
Knowledge of community resources and SDoH-related services.
Ability to manage a caseload and document activities accurately.
Must live in Middlesex County or nearby
License / Credential Requirements
Community Health Worker (CHW) Certification from the NJ Department of Health (or must obtain within 12 months of employment date).
Preferred Qualifications
Lived experience or prior work supporting individuals with Type 2 diabetes or chronic conditions.
Experience working within Medicaid or managed care environments.
Bilingual or multilingual skills aligned with community served.
Familiarity with care management systems and electronic health records.
Knowledge of motivational interviewing, cultural competency, and trauma-informed care practices.
Education Required
High school diploma or equivalent required
Associate’s or Bachelor’s degree in Public Health, Social Work, or related field preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$18.50 - $38.82This 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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. 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 people fuel our future. 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.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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