Community Health Worker

Aledade

Posted on : 09-04-2025

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1 Vacancy

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Job Location

Grand Rapids, MI - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 09-04-2025

Job Description

We are searching for a Community Health Worker to join the team! As a Community Health Worker you will work closely with the physician organization medical providers primary care teams and social services agencies to provide shortterm care coordination related to Social Determinants of Health (SDOH) needs. Coordination to include linkage to community resources and support programs assisting patients to improve their health and general wellbeing through education and provision of appropriate services.

This CHW will be required to work 12 days a week in office.

Primary Duties:

Conducts outreach to targeted patient population to identify community resource needs.
Conducts SDOH screenings on patients.
Assists patients in identifying socioeconomic issues that affect their overall health and in developing selfmanagement plans and goals.
Documents all patient encounters; completes and submits monthly reports; maintains comprehensive electronic patient files. Documents activities treatment plans and outcomes achieved by patients in an effective manner.
Facilitates communication and coordinates services between providers and the patients and tracks patient compliance with the care plan objectives.
Provide appropriate billing code for services provided.
Creates and maintains a comprehensive community resource database relevant to clinics patient populations.
Participates in care team meetings and contributes to the patient plan of care.

Minimum Qualifications:

High school diploma or GED
CHW certification or willingness to obtain upon hire
1 year experience relevant to position and responsibilities
Strong interpersonal and community skills and ability to work effectively with a diverse community
Knowledge of community resources and agencies for example knowledge of transportation and other barriers to care
Working knowledge of multisystem outreach programs related to health care delivery clinical education and healthrelated services
Ability to plan implement and evaluate individual patient care plans
Ability to communicate medical information to patients over the phone
Skill in use of personal computer and related software applications including email and excel
Creative and analytical thinking

Preferred Key Skills and Abilities:

Knowledge of the PCMH and PCMHNeighbor (PCMHN) models of care
Experience with EHRs disease registries or other medical software
Billing and coding experience

Who We Are:

Aledade a public benefit corporation exists to empower the most transformational part of our health care landscape independent primary care. We were founded in 2014 and since then weve become the largest network of independent primary care in the country helping practices health centers and clinics deliver better care to their patients and thrive in valuebased care. Additionally by creating valuebased contracts across a wide variety of health plans we aim to flip the script on the traditional feeforservice model. Our work strengthens continuity of care aligns incentives and ensures primary care physicians are paid for what they do best keeping patients healthy. If you want to help create a health care system that is good for patients good for practices and good for society and if youre eager to join a collaborative inclusive and remotefirst culture youve come to the right place.

What Does This Mean for You

At Aledade you will be part of a creative culture that is driven by a passion for tackling complex issues with respect openmindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences interests backgrounds beliefs and achievements to their work and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support worklife balance and enjoyment we offer the following comprehensive benefits package designed for the overall wellbeing of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health dental and vision insurance paid up to 80 for employees dependents and domestic partners

Robust timeoff plan 21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4 match

Stock options

And much more!

At Aledade we dont just accept differences we celebrate them! We strive to attract develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit qualifications performance and business needs. All qualified candidates will receive consideration for employment without regard to age race color national origin gender (including pregnancy childbirth or medical conditions related to pregnancy or childbirth) gender identity or expression religion physical or mental disability medical condition legally protected genetic information marital status veteran status or sexual orientation.

Employment Type

Full-Time

Company Industry

Key Skills

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About Company

Aledade

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Community Health Worker

Aledade

Job Description

Primary Duties:

Minimum Qualifications:

Preferred Key Skills and Abilities:

Employment Type

Company Industry

Key Skills

About Company

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