Description North Star Health, an FQHC comprised of multiple PCMH practices delivering team-based care in Southern VT and Southwest New Hampshire, is seeking a Community Health Worker (CHW) to be a part of our Community Health Team (CHT) and play a critical role in helping individuals access the care they need through the provision of screening, brief interventions and connections to services to address a range of needs including behavioral health services and substance use treatment, food insecurity, housing and economic assistance. Our ideal candidate will be a team player who is community-minded, an exceptional listener and advocate, with experience in meeting people where they are at and providing assistance to help them access the service they require, ideally in a healthcare or social service setting. We have positions serving our Ludlow and Londonderry Vermont health centers. In this role you will: • Promote and work to achieve our mission and vision to connect with and care for our community so everyone may enjoy health and wellness. • Work as part of the Community Health Team, in collaboration with primary care, behavioral health and substance use treatment teams • Reach out to individuals following a psychosocial assessment; foster relationships as the face of North Star Health and key point-of-contact to assist individuals in achieving goals, identifying needs, and coordinating services. • Conduct follow-up assessments and engage individuals through motivational interviewing to identify priority needs and areas for intervention or follow up • Identify next steps to address findings including referral to an appropriate level of care either with North Star Health or an external service provider • Provide brief interventions as appropriate to address screening results, either directly or through referral • Outreach to both organizations and individuals, including meeting individuals in their home and going to a variety of service locations; • Assist in coordinating care for individuals, identifying and addressing their barriers to and social influences on good health; assist in patient enrollment, schedule appointments, assist with transportation, and follow up on care delivery. • Collaborate with local health and social service organizations to assist them in enhancing services and addressing systemic barriers to health and social services. • Documents all patient encounters; complete required reports; maintain electronic patient files, including referrals, releases, assessments and other documents acquired on behalf of the patient. • Support fellow team members in answering phones and addressing patient requests and other tasks as needed. Requirements Requirements for the role • You have experience with direct service provision, preferably in a healthcare or social service setting working with individuals with a variety of needs including behavioral health and substance use issues • You have a passion for working within the community you are a part of, or have been a part of in the past. • You are flexible, team-oriented, and willing to wear different hats • You have an ability to effectively and independently plan, organize, and coordinate access to health services. • You have excellent communication skills, including writing, listening and organizing information • You excel at empathy and human interactions, and want to improve the health of individuals and communities. • You are comfortable working with people who are in distress and who may be experiencing a range of challenges and difficulties in their lives and living circumstances • You are an independent self-starter and a strategic thinker who is eager to learn, improve, and grow. • You have experience or the capacity to use computer-based tools including typing, web-based applications and client-related databases • You are excited about how technology can support your work and help drive the ongoing evaluation toward new, better, care. • Unrestricted Driver’s License Interested candidates should provide a cover letter addressing the scope of the role, in addition to completing the application. We take care of our team! Our comprehensive benefits package includes medical, dental, and vision coverage, a 401(k) with company match, generous paid time off, and engaging wellness programs that make it easy and fun to stay healthy. We're committed to supporting your well-being—at work and beyond.