Community Health Worker - Primary Care

Date: May 9, 2024

Location: Indianapolis, IN, US, 46202

Organization: HHC

Division:Eskenazi Health  

Sub-Division: FQHC  

Req ID:  20357 


Schedule: Full Time 

Shift: Days 


Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.




FLSA Status


Job Role Summary

The Community Health Worker will work with patients at the health center and community level to enhance understanding and adherence to treatment protocols, identify social determinants of health, and help patients to set and achieve their self-management goals. The CHW will document home social and environmental assessments timely, accurately and with good quality, identifying barriers to accessing appropriate healthcare or other concerns within the patient's home environment.

Essential Functions and Responsibilities

  • Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health's values
  • Documents health, social and environmental assessments timely, accurately and with good quality, identifying barriers to accessing appropriate healthcare or other concerns within the patient's home environment
  • Performs home visits to patients to provide support, encouragement and guidance
  • Develops supportive and therapeutic relationships with patients and their families
  • Accurately documents home/telephone visit outcomes in a timely manner
  • Utilizes motivational interviewing to encourage patients to modify their behaviors
  • Recommends community resources for patients order to meet the basic five needs of : housing, food, clothing, transportation and utilities
  • Carries a caseload of at least 100 patients
  • Advocates for patients to ensure access to needed services which includes developing community relationships and resources
  • Identifies any high risk patient symptoms or circumstances that would result in risk for self-harm or harm to others, and notifies appropriate higher level clinical staff for consultation
  • Completes appropriate home assessment documentation, identifies barriers and refers patient to the appropriate community resources
  • Works with family, significant others and community supports to assist patients in meeting goals
  • Alters activities/behaviors to reflect and ensure adequate care appropriate to the age of patients served
  • Provides quality case management and provides training to patients on activities related to daily living skills
  • Monitors patient progress and reflects this in documentation during follow up visits
  • Demonstrates commitment to professional growth by actively participating in clinical supervision

Job Requirements

  • High school diploma or equivalent
  • One year of job-related work experience, performing similar functions in a similar role
  • Valid Indiana driver's license that meets Eskenazi Health's driving policy requirements
  • Knowledge of the Marion County community and its residents having either lived in or around targeted areas; knowledge of available community resources and required application processes

Knowledge, Skills & Abilities

  • Ability to relate to a variety of people within different cultures, socioeconomic backgrounds and education levels
  • Ability to establish and maintain effective working relationships with superiors, coworkers, patients and families
  • Willingness to work with patients and their family members or other support persons in the clinic, hospital, home, and community settings
  • Basic computer skills
  • Ability to work independently
  • Ability to work effectively in a sometimes stressful and unstructured environment
  • Teaching/coaching skills
  • Strong interpersonal skills; ability to be both clear and concise in written and verbal communication
  • Use of discretion and independent decision making regarding patient safety and care
  • Willingness and ability to carry out directives from other team members
  • Ability to use communication skills appropriate to the age of the patient
  • Ability to interpret and apply complex directives/information/regulations
  • Crisis intervention skills helpful




Accredited by The Joint Commission and named as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.


Nearest Major Market: Indianapolis