Caring for our community starts with you. Join a team that believes everyone deserves care.

Candidates must reside within NorthLakes' service area at the time of hire and maintain residency throughout employment.

The position’s main purpose is to connect people with support and resources to improve overall health and wellbeing. The CHW works with each person to build on their strengths, reduce barriers to care, and improve important aspects of life (financial, safety, physical, emotional, etc.). The CHW plays a key role in our efforts to provide comprehensive and integrated care to all patients.

Essential Job Functions

• Administer assessment of whole-person needs for social drivers of health, including housing, economic stability, social networks and supports, access to healthcare, access to food, stress, wellbeing and safety 

• Identifies patients meeting criteria for care management services 

• Collaboratively develop a plan based on personal goals, and connect people to resources and supports to achieve said goals 

• Provide informal counseling and support, screenings, and referrals 

• Establish trusting relationships with patients and their families 

• Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families 

• Maintains follow-up care with patients through phone contact and office visits, while at the same time encouraging and fostering self-management 

• Connect people to healthcare and social services through referrals, warm hand offs and follow-up 

• Keep up to date on community resources and services and how to access them, and facilitate system navigation 

• Help people keep appointments, including appointment reminders 

• Manage care transitions for vulnerable populations 

• Connect people to the Sliding Fee program, NorthLakes Care, and other programs 

• Assist in completing applications and registration forms 

• Conduct eligibility determination, enrollment and follow-up to enroll individuals into health insurance plans, including CAC duties  

• Work closely with care team to ensure people have comprehensive and coordinated care 

• Act as an advocate and liaison between the person/family and service agencies (i.e. schools, Department Human Services, Heath Care for Homeless, hospitals, support groups, etc.) 

• Manage assigned caseload of participants 

• Attend regular staff meetings, trainings and other meetings as requested  

• Collect program data and relay information 

• Record patient care management information in the EMR and other software 

• Understand and demonstrate knowledge of HIPAA 

• Develop and maintain relationships with organizations and agencies providing health and social services 

• Maintain and disseminate updated resource information 

• Work with Department Manager to identify community involvement and outreach needs 

• Other duties as assigned 

Benefit Statement

For full time and part time employees who work 24 or more hours per week we offer a generous benefits package that includes:

•     Medical and dental insurance

•     Employer paid group term life and disability

•     Employer contribution toward Health Savings Account

•     Flexible Spending Accounts

•     Paid Time Off (PTO), Paid Holidays and Paid Leave Bank

•     403(b) with a 4% employer match

Various voluntary benefits:

•     Vision Insurance

•     Supplemental Life, AD&D and Disability

•     Tuition reimbursement

•     Health and Wellness reimbursement program

•     Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

•     Partner of HRSA/NHSC loan repayment program

Our Mission is to respond to the healthcare needs of our communities with an integrated array of quality services and actively remove barriers to wellness.

NorthLakes Community Clinic is an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

All offers of employment are contingent upon successful completion of a criminal background check and references.

At NorthLakes Community Clinic, our organizational competencies highlight the behaviors and values that guide how we work and provide a shared foundation for performance, development, and growth throughout an employee’s career with us.

NorthLakes Community Clinic Organizational Competencies 

Mission Driven - Advances the organizational mission, vision and values in executing  job duties.  

Customer Service - Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. 

Quality - Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. 

Creativity - Generates new ideas, supports change, provides innovative solutions, solves problems creatively. 

Integrity - Earns the trust and confidence of coworkers and customers through honest communication, ethical behavior and professionalism in all interactions. 

Teamwork - Contributes to meeting team deadlines and responsibilities, listens to others and values opinions, helps team to meet goals, welcomes newcomers and promotes a cooperative team atmosphere.  

Self-Development - Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills, keeps knowledge and skills up-to-date, turns mistakes into learning opportunities. 

Job Knowledge - Understands duties and responsibilities, possesses necessary job knowledge and technical skills, maintains job knowledge current. 

Communication - Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. 

Dependability - Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. 

Trauma/Resilience Informed - Understands that trauma is prevalent and ​resilience can be cultivated and improved; and operates in a manner consistent with these principles.