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Community Health Worker (Certified) - MONTGOMERY COUNTY SERVICE AREA

Community Health Worker (Certified) - MONTGOMERY COUNTY SERVICE AREA

Retrospective Wellness LLCConroe, TX, US
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Job Description

Job Description

Salary : $20-$24 Hourly

Position Summary :

The Community Health Worker is responsible for providing comprehensive, client-centered case management services to eligible children (birth through age 20) and pregnant women enrolled in Texas Medicaid who have a health condition, health risk, or high-risk pregnancy. This role focuses on ensuring clients receive access to essential medical, social, educational, and other necessary services through coordination, advocacy, and resource linkage. Must live in / near and willing to travel to Conroe, Willis, The Woodlands, New Caney, Magnolia, and Pinehurst.

Key Responsibilities :

Client Assessment & Engagement

  • Conduct thorough needs and strengths assessments for eligible clients.
  • Complete and maintain required documentation, including the Family Needs Assessment and Service Plan.
  • Develop individualized, culturally sensitive service plans aligned with client needs and preferences.
  • Confirm voluntary participation and obtain informed consent for case management services.

Service Coordination & Linkage

  • Assist clients in accessing medical services such as pediatric care, OB / GYNs, dental care, and therapy.
  • Facilitate access to social services including Medicaid transportation, housing assistance, and food programs.
  • Coordinate educational support services including ARD meetings for special education and school-based accommodations.
  • Collaborate with Managed Care Organizations (MCOs) and school personnel to ensure cohesive care planning.
  • Advocacy & Empowerment

  • Serve as a liaison between families and providers to advocate for services and eliminate barriers to care.
  • Educate families on navigating the healthcare system, public programs, and local resources.
  • Promote family engagement and self-advocacy through coaching and support.
  • Compliance & Documentation

  • Ensure all services meet Medicaid documentation, billing, and compliance requirements.
  • Maintain timely, complete, and accurate records of all services delivered.
  • Monitor client progress, follow up consistently, and adjust service plans as needed.
  • Program Participation

  • Attend ongoing training related to Texas Health Steps, Medicaid policy, and CPW updates.
  • Participate in internal audits, quality improvement processes, and team meetings.
  • Qualifications :

  • Must have a bachelor's degree or minimum five years of case management experience
  • Must hold one of the following credentials :
  • Certified Community Health Worker (CHW) or

  • Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW) under supervision, Licensed Registered Nurse (RN), Certified Doula (in alignment with CPW guidelines)
  • Must be Medicaid-enrolled or eligible to enroll as a provider.
  • Experience working with maternal, child health, or medically vulnerable populations.
  • Knowledge of community-based services, health disparities, and social determinants of health.
  • Preferred :

  • Bilingual (English / Spanish).
  • Prior experience with Medicaid billing and documentation.
  • Familiarity with Texas Health Steps and / or CPW policies and procedures.
  • Skills & Competencies :

  • Strong organizational and time-management skills.
  • Excellent verbal and written communication.
  • Ability to work independently and as part of a team.
  • Cultural humility and sensitivity to diverse populations.
  • Commitment to ethical, client-centered care.
  • Work Conditions :

  • Flexible schedule; some home visits or virtual meetings may be required.
  • Travel may be required to client homes, schools, or service provider locations.
  • Must maintain client confidentiality in compliance with HIPAA.
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    Community Health Worker • Conroe, TX, US