Community Health Worker

Position:Community Health Worker (CHW)

Organization: EPIC Health
Schedule: Full-Time (40 hours/week)
Location: Detroit MI

Be the Bridge Between Care Plans and Real Life

At EPIC Health we do not treat Social Determinants of Health as adjacent to carewe treat them as core drivers of outcomes.

The Community Health Worker (CHW) plays a critical frontline role in operationalizing EPIC Healths Model of Care. This position exists to address real-world barriers reinforce Provider-Derived Care Management (PDCM) and ensure patients can access understand and follow through on their care plans.

This is not a passive referral role. This is action-oriented community-embedded work that directly impacts patient outcomes.

We are seeking a licensed credentialed Community Health Worker who is committed to improving access strengthening trust and helping vulnerable populations navigate complex healthcare and social systems.

What Youll Do

Be the Patient Advocate

• Serve as a trusted and consistent point of contact for patients navigating healthcare social services and community systems.

• Act as a bridge between patients families caregivers providers and community-based organizations.

• Identify and remove barriers preventing patients from engaging in care or achieving care plan goals.

Drive SDOH & Care Plan Execution

• Conduct proactive outreach (in-person and phone) based on patient risk level provider direction and care team priorities.

• Partner closely with Medical Social Workers and providers to support individualized care plans.

• Reinforce Provider-Derived Care Management by supporting goal-setting coordination and follow-through.

• Ensure care plans translate into actionnot just documentation.

Own Community Resource Navigation

• Maintain an active up-to-date working inventory of local resources including:

  • Housing

  • Food access

  • Transportation

  • Utilities

  • Benefits enrollment

  • Activities of Daily Living (ADLs)

  • Social supports

• Connect patients with appropriate state and local programs and assist with applications and documentation.

• Deliver culturally appropriate health education within EPIC-approved training and competency guidelines.

Meet Patients Where Life Happens

• Engage patients in EPIC Health centers homes community settings and external provider facilities.

• Spend approximately 50% of your time outside the health center supporting patients in real-world environments.

• Accompany high-risk patients to appointments when needed to improve adherence and continuity of care.

Be a Core Member of the Care Team

• Participate in interdisciplinary care team meetings.

• Provide community-level insight to inform clinical decision-making.

• Facilitate communication between patients providers and support systems.

• Document all patient interactions accurately and timely in the electronic medical record.

• Maintain strict HIPAA compliance.

• Manage your time independently with strong accountability.

What Success Looks Like

• Patients trust you and actively engage in their care.

• Social and access barriers are resolvednot merely identified.

• Care plans convert into completed visits improved adherence and measurable outcomes.

• Providers rely on you as the expert on patient reality and community context.

What You Bring

Required Qualifications (Non-Negotiable)

• Active Community Health Worker (CHW) Certification.

• Minimum of 1 year of experience in healthcare community-based work case management or social services.

• Strong verbal and written communication skills.

• Ability to manage multiple priorities with a solutions-oriented mindset.

• Demonstrated commitment to serving diverse and vulnerable communities.

• Proficiency with basic computer systems (Windows Google Workspace Microsoft Office).

• Reliable transportation and ability to travel throughout the community.

• Authorization to work in the United States.

Strongly Preferred

• Bilingual or multilingual (commonly English/Spanish depending on community need).

• Experience working on interdisciplinary or multidisciplinary care teams.

• Deep familiarity with local community resources and navigation systems.

Why Join EPIC Health

At EPIC Health we are committed to transforming healthcare for vulnerable populations by addressing both medical and social drivers of health.

Our integrated care model combines primary care specialty services behavioral health and care management under one coordinated system. Community Health Workers are not peripheralthey are central to how we improve outcomes and reduce avoidable utilization.

Here your work directly impacts access equity and long-term health stability for the communities we serve.

What We Offer

• Competitive market-aligned compensation.

• Comprehensive benefits package (Health Vision Dental Disability Life Insurance).

• 401(k) retirement plan.

• Paid Time Off and Holiday Pay.

• Ongoing professional development and training.

• A supportive mission-driven team environment.

• Opportunities for growth within an expanding integrated healthcare organization.

If you are ready to be a hands-on advocate and make measurable impact in your community we invite you to apply and join EPIC Health.

Background check required for this role.