Clinical & Nursing
Community Health Worker - Bilingual - Spanish REQUIRED/Bronx area
New York, NY, United States

Your Future Evolves Here


Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.


Are we growing? Absolutely—56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.


Who You’ll be Working With:


Evolent Health is actively recruiting a team of Community Health Workers, which will have the opportunity to make a profound impact on the lives of underserved individuals and families living with complex and/or chronic medical and behavioral conditions. As part of this team, you will act as an advocate and liaison for Medicaid beneficiaries and their caregivers. You will improve their access to community resources and healthcare to improve their wellness and quality of life. You will work under the guidance of a team lead, as an extension of the clinical care team and as needed with the guidance of an RN. You will ‘meet people where they are’ -  in person, on the phone, in the hospital, and in the physician’s office - essentially however and wherever beneficiaries need your assistance to improve their health, to better understand their illness, and to coordinate their care. You will be located in the New York City metropolitan area, where you will interact with beneficiaries primarily in the Bronx, Brooklyn, Manhattan, and Queens boroughs. 


What you will be doing:


  • Establish positive and supportive relationships with Medicaid beneficiaries and their caregivers, and motivate beneficiaries to be active, engaged participants in their health
  • Working under the guidance of an RN, facilitate communication, access, and services between providers, local resources, and beneficiaries
  • Effectively work with people from diverse backgrounds to reduce cultural and socio-economic barriers to quality health and social services
  • Provide peer support and advocacy for beneficiaries and their caregivers, helping them navigate the healthcare system
  • Support beneficiaries and caregivers in addressing language and cultural barriers to care and self-care
  • Coach and guide beneficiaries to meet both personal and clinical goals
  • Conduct initial outreach calls to encourage beneficiaries and caregivers to engage in coordination of care activities. ‘Meet people where they are’ according to their needs, including through home visits
  • Conduct social needs assessments to identify barriers and support resolution
  • Document activities within the care coordination technology, maintain electronic records, compile reports and complete other program documentation in a timely manner (e.g., progress notes) and other administrative responsibilities as needed
  • Serve as a resource expert to facilitate referrals and access to community resources (e.g., DSME, nutritional support)
  • Schedule provider visits on behalf of beneficiaries, and accompany beneficiaries to appointments when necessary
  • Remind beneficiaries and caregivers of upcoming visits, and arrange transportation if necessary
  • Facilitate access to community and governmental service agencies, which may include completing paperwork on behalf of the beneficiary and accompany beneficiaries when necessary
  • Assist care team in educating beneficiaries and caregivers about symptom response plans
  • Support disease management education, including symptom tracking and reporting, health education/prevention, and maintenance of beneficiary’s supplies and durable medical goods
  • Facilitate closing gaps in care by educating beneficiaries about preventive monitoring and working with physician practices to schedule diagnostic testing
  • As needed, participate in meetings with integrated care teams
  • Identify process inefficiencies and collaborate with peers and colleagues to develop solutions to issues


The Experience You Need


  • Experience working with Medicare, Medicaid and Special Needs populations
  • Community Health Worker, Medical Assistant, or Engagement Specialist Certification
  • Effective communication and organization skills
  • Ability to work both independently and collaboratively within a team
  • Ability to travel between the Bronx, Brooklyn, Manhattan, and Queens boroughs, and surrounding areas as needed



  • Bi-lingual (Spanish, Mandarin or Cantonese)
  • Experience working with beneficiaries with chronic and behavioral health needs
  • Ability to connect with people and understand the challenges they face
  • Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses
  • Well-known and connected within the community where you work and live
  • Experience working with Electronic Medical Records and health care systems


Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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