Yolo Community Health Worker (CHW)

Job Title: Community Health Worker (CHW)
Reports To: Regional Program Manager
Department: PneumaCare Health & Wellness

Position Summary: The Community Health Worker (CHW) assesses and supports neighbors' needs related to physical and mental health, substance use disorders, oral health, palliative care, memory care, trauma-informed care, social support, housing stability, vocational assistance, and overall wellness. This role actively collaborates with neighbors, their families, caregivers, community support teams, and healthcare providers to coordinate comprehensive care, promote independence, recovery, and resilience, and ensure effective linkages to community-based resources.

Essential Duties and Responsibilities:

• Conduct comprehensive assessments to identify neighbors' health and social needs.


• Develop personalized care plans, coordinating and managing care within Enhanced Care Management (ECM), Community Supports (CS), and CHW services.


• Utilize evidence-based practices including Motivational Interviewing, Stages of Change, Harm Reduction Techniques, and Trauma-Informed Care principles.


• Facilitate communication and collaboration among neighbors, caregivers, healthcare providers, and community resources to ensure seamless service delivery.


• Conduct outreach and engagement activities to effectively connect neighbors with appropriate ECM or CS programs.


• Advocate for neighbors, promoting empowerment and self-sufficiency while maximizing their access to beneficial resources.


• Participate in ongoing training programs, including but not limited to Adverse Childhood Experiences (ACEs), Mental Health Care (MHC), and CHW certification training.


• Obtain consent from neighbors to advocate on their behalf with healthcare professionals and other service providers.


• Drive MACC vehicle to pick up food from food bank for office food pantry supply.

Minimum Qualifications:

• An Associate's degree in Public Administration, Business, Social Work, Psychology, Marriage and Family Therapy, Emergency Management, or related field; OR


• Two (2) years of professional experience in home health, social services, or case management specifically serving low-income populations; OR

• Any combination of education and experience that provides the necessary knowledge, skills, and abilities to perform the duties of the position.

Desired Qualifications:

• Experience in program administration, including strategy formulation, team-building, and cross-departmental collaboration.


• Excellent interpersonal and communication skills, both verbal and written.


• Experience implementing health systems quality improvement initiatives and using quantitative data to inform and drive change.


• Basic knowledge of Medi-Cal programs and eligibility requirements for public agency services.


• Demonstrated passion and commitment to serving underserved populations.

Additional Requirements:

• Possession of a valid California Class C Driver License in good standing, personal auto insurance, and insurability under the organization's insurance carrier.