Community Health Worker - Patient Navigation
Community HealthWorks·Sacramento, California
Community HealthWorks·Sacramento, California
Provide direct patient navigation services in hospital emergency departments to identify healthcare and social needs. Connect patients to primary care, community resources, and support continuity of care through referrals and follow-up.
Community HealthWorks (CoHeWo) advances health equity by helping individuals and families access the health coverage, care, and community services they need to thrive. We work at the intersection of health care and community support, partnering with managed care plans, health systems, community-based organizations, and government agencies to remove barriers to care.
Our team provides community-based navigation, care coordination, and outreach services that connect people to health coverage, primary care, public benefits, housing support, and other critical resources that improve well-being.
Community Health Workers are central to this work, serving as trusted connectors between communities and the systems designed to support them.
The Community Health Worker (CHW) – Patient Navigation provides direct patient navigation services within Sacramento-area hospital emergency departments and healthcare settings.
This role works directly with patients to identify healthcare and social needs, connect individuals to primary care and community resources, coordinate referrals, and support continuity of care following hospital encounters. The CHW serves as a bridge between patients, healthcare providers, health plans, and community organizations to help individuals access appropriate services and reduce barriers to care.
Services may include primary care linkage, Social Determinants of Health (SDOH) screening, transportation coordination, Enhanced Care Management (ECM) referrals, Community Supports referrals, health plan navigation, and connection to community resources. This role is non-supervisory.
Patient Navigation & Care Coordination Engage patients within hospital emergency department and healthcare settings to assess healthcare and social support needs.
Assist patients in connecting to primary care providers, specialty care, and community resources.
Schedule follow-up appointments and support continuity of care after hospital visits.
Coordinate referrals between healthcare providers, health plans, hospitals, and community-based organizations.
Conduct follow-up activities to support successful service linkage and care coordination.
Resource Navigation & Support Conduct Social Determinants of Health (SDOH) screenings and identify barriers to care.
Connect patients to community resources, transportation services, and supportive programs.
Screen for Enhanced Care Management (ECM) and Community Supports eligibility and facilitate referrals when appropriate.
Educate patients about available healthcare services, health plan benefits, and community resources.
Documentation & Data Integrity Maintain accurate and timely documentation in Salesforce, Unite Us, and other approved systems.
Document patient interactions, referrals, services provided, and outcomes in accordance with program requirements.
Collaborate with hospital staff, health plans, healthcare providers, and community partners to support positive patient outcomes.
Participate in team meetings, case conferences, and continuous improvement activities.
Valid California driver’s license Proof of auto insurance Reliable transportation Ability to travel throughout Sacramento County and surrounding areas (Mileage reimbursement provided in accordance with organizational policy.) Employment is contingent upon completion of a criminal background check. Findings will be reviewed in relation to job responsibilities and in accordance with applicable laws.
Must comply with any immunization, health screening, hospital onboarding, training, or safety requirements required by partner sites or public health regulations.
Work Environment & Schedule
This is a full-time, non-exempt position, generally operating Monday through Friday during hospital coverage hours. This role includes: Hospital-based work Office-based work Collaboration with healthcare providers and community partners Limited local travel as needed Work may take place in hospitals, clinic, office, and community-based settings.
Physical & Emotional Demands
This position requires sitting, standing, walking, and regular computer use. Occasional bending, reaching, and lifting up to 15 pounds may be required.
The role involves working with individuals experiencing complex health and social needs. The ability to manage emotionally sensitive situations with professionalism and sound judgment is essential.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. How to Apply To apply, please submit the following: A resume detailing your relevant experience and skills. A cover letter explaining why you’re excited to join Community HealthWorks and how your experience aligns with the role. We look forward to hearing from you and welcoming you to our team!
Market context
In California, physician openings are typically driven by ongoing demand across large health systems, outpatient groups, and specialty practices, with competition shaped by board eligibility, licensure, and specialty fit. For this role category, candidates are often compared on clinical experience, communication skills, and readiness to work within team-based care. The job requirements and benefits on this platform are AI-summarized from the original job description, saving candidates research time. Review the CPT and BLS requirements carefully and confirm your experience aligns with the listed laboratory and acute-care expectations before applying.
