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Activate Care

HIPAA-compliant care coordination platform

Community Health Worker

Community Outreach & ProgramsConfirmed live in the last 24 hours
Full-time$52k - $56.2kHybrid

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • Community Health Worker certification or prior experience in community health work, patient navigation, care coordination, peer support, health education, or community outreach is preferred.
  • Experience working in a Federally Qualified Health Center, rural healthcare setting, Medicaid program, or community-based organization is preferred.
  • Experience supporting patients with chronic conditions using motivational interviewing, health coaching, or chronic disease self-management techniques is preferred.
  • Strong interpersonal, communication, and relationship-building skills are required to build trust across diverse communities.
  • Comfort working with patients who may face complex medical, social, financial, transportation, language, or technology barriers is required.
  • Strong computer skills are required, including the ability to use smartphones, web-based platforms, digital health tools, patient portals, or care-management platforms for documentation and communication.
  • Strong organizational skills and the ability to manage multiple patients, tasks, and follow-up activities independently and collaboratively are required.
  • Knowledge of local Utah community resources is preferred.
  • Bilingual or multilingual skills, particularly Spanish, are strongly preferred.
  • Ability to travel locally to assigned clinic and community locations as needed is required; a valid driver's license and reliable personal transportation are required.

Responsibilities

  • Conduct outreach to patients referred by participating Federally Qualified Health Center clinics and explain the Path Assist program.
  • Engage eligible patients in the program and complete consent, required intake, assessments, and enrollment activities.
  • Identify patient-specific goals and barriers, and document support and follow-up provided.
  • Maintain regular contact with participants based on their level of need and program requirements.
  • Support patients with appointment preparation, follow-up, and completion of recommended services.
  • Support patients in understanding and following next steps recommended by their healthcare team.
  • Track goals, tasks, referrals, and progress throughout each participant's enrollment.
  • Support patients in using CareLink Navigate for secure communication, reminders, education, goal tracking, and resource navigation.
  • Assess each patient's comfort with technology, internet connectivity, digital literacy, and readiness to use telehealth.
  • Help patients understand when and how telehealth may be used as part of their care.
  • Support telehealth scheduling, reminders, visit preparation, technology setup, and connectivity troubleshooting.
  • Coach patients on using smartphones, patient portals, video platforms, and other approved digital tools as needed.
  • Help patients overcome technology-related barriers that may prevent them from completing telehealth visits.
  • Follow up after telehealth encounters to support completion of provider-recommended next steps and identify additional access barriers.
  • Provide education and coaching related to chronic disease self-management using relevant WebMD Ignite chronic disease materials.
  • Help patients access and understand approved educational materials and provider-recommended next steps.
  • Use motivational interviewing, health coaching, and goal-setting techniques to support patient engagement and follow-through.
  • Identify barriers that may interfere with chronic disease management and work with patients to develop practical solutions.
  • Refer patients to local disease self-management programs as relevant.
  • Screen for social needs that may affect patients' health or ability to follow their care plans, including transportation, food access, housing, affordability, language, health literacy, and other barriers.
  • Refer patients with identified health-related social needs to Utah 211 for resource navigation and assistance.
  • Help patients use the CareLink Navigate self-service resource directory.
  • Help patients identify and address practical barriers to health and social care access.
  • Document patient outreach, assessments, care-plan-related goals, referrals, interventions, follow-up, and outcomes accurately and promptly in CareLink.
  • Collaborate with clinic staff to support referral, communication, and care-coordination workflows.
  • Communicate patient barriers, care-coordination needs, and relevant updates to authorized clinic staff.
  • Follow established clinical escalation protocols when a patient reports symptoms, concerns, or needs outside the Community Health Worker scope of practice.
  • Participate in clinic huddles, case reviews, or implementation meetings as appropriate.
  • Build working relationships with providers, care teams, community partners, and other members of the LIFT program.
  • Participate in Community Health Worker supervision, coaching, continuing education, and performance feedback.
  • Support program goals related to enrollment, engagement, screening, referrals, goal-setting, telehealth access, and participant retention.
  • Maintain compliance with HIPAA, privacy, security, documentation, and program policies.
  • Perform other duties as assigned.

Desired Qualifications

  • Community Health Worker certification or prior experience in community health work, patient navigation, care coordination, peer support, health education, or community outreach.
  • Experience working in a Federally Qualified Health Center, rural healthcare setting, Medicaid program, or community-based organization.
  • Experience supporting patients with chronic conditions using motivational interviewing, health coaching, or chronic disease self-management techniques.
  • Knowledge of local Utah community resources.
  • Bilingual or multilingual skills, particularly Spanish.

About the Company

Activate Care

HIPAA-compliant care coordination platform

Activate Care provides a cloud-based care coordination platform and support services to healthcare, social services, and government entities to manage health-related social needs for high-needs patients, especially Medicaid beneficiaries. Its core products, CareLink and Path Assist, include a HIPAA-compliant community care record that connects care teams and enables referrals and data sharing, plus a workforce of community health workers who address social needs directly. The company differentiates itself by pairing a shared digital care record with a dedicated human workforce to prevent fragmented handoffs, an approach shaped by its founders’ experiences and incubation at Boston Children’s Hospital and Harvard Innovation Lab. Its goal is to improve health outcomes and health equity by making social needs brief, rare, and non-recurring through integrated care coordination and resource connections.

Company size
51-200
Company stage
Series A
Total funding
$8.4M
Headquarters
Boston, MA
Founded
2012

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