Community Health Worker

Community Health Worker (CHW)

Who We Are

Vayu Health is a non-profit healthcare community-based organization in California

launching a completely different care model for low-income people living with

uncontrolled chronic conditions (starting with people with diabetes) who also have

high social and behavioral needs, and we are looking for like-minded people

passionate about equity, person-centered care, and reducing barriers to

accessing high-caliber care.

We believe that a major shift is needed in the way we care.

We are and believe in

• Acting with passion and creativity

• Leading with integrity

• Committing to being better

• Achieving strength through teams

• Inclusivity, where all individuals should be treated with grace and dignity

Position Overview:

We’re looking for a caring, energetic, dedicated, resourceful Community Health Worker (CHW) to join our team at Vayu Health. In this role, you will serve as the primary field care coordinator embedded directly within an interdisciplinary clinical team (diabetes educators, behavioral health clinicians, and doctors).   

You will build real relationships and manage an active, acuity-based member panel inside their living environments, building trusting relationships, guiding complex health navigation, enabling digital health technology, and driving social determinants of health (SDOH) stabilization.   

This is a hybrid role involving face-to-face member visits in homes, community settings, and clinics, combined with daily virtual huddles and collaboration with your clinical care team

Responsibilities:

Care Coordination

• Serve as the primary point of contact and lead care coordinator for an assigned member panel, prioritizing visit cadences based on member risk/acuity.

• Drive care management, supporting members from initial intake through goal achievement, stabilization, and formal program graduation.   

• Help members set meaningful self-management goals and translate complex clinical care plans into actionable, culturally relevant habits. 

Hands-On SDOH & Benefit Navigation

• Provide active, hands-on navigation (application completion for housing vouchers, Medi-Cal redeterminations, SSI/SSDI, EBT) 

• Accompany members to critical medical appointments, community agencies, and pharmacies to advocate for their needs.   

• Assist members with mapping care networks, family supports, and community resources into the member’s overall Care Plan.

Clinical Integration

• Provide hands-on setup, pairing, and troubleshooting for remote monitoring tools.   

• Perform environmental safety assessments, Health screenings, and SDOH risk evaluations inside the member's home.   

• Present real-world field observations, environmental barriers, and engagement context during daily interdisciplinary clinical huddles.

Outreach & Enrollment

• Conduct targeted recruitment and warm handoffs for eligible clinic and community members.   

• Educate members on navigating complex healthcare systems while acting as a cultural mediator and advocate for the member’s preferences.   

• Maintain complete confidentiality and log real-time documentation in Sprite (EHR) using standardized care management standards.  

What Makes You a Great Fit

• Passionate about health equity, social justice, and person-centered care.

• High emotional intelligence, active listening skills, and deep empathy for individuals facing complex health and social challenges.

• Strong problem-solving abilities with the self-direction needed to thrive in a hybrid field environment.

• Deep knowledge of Humboldt County community resources, systems, and geography.

• Comfortable learning and utilizing digital health tools (Google Workspace, EHR/Sprite, CGM apps).

• Excellent teamwork skills and enthusiasm for partnering daily with clinical specialists.

Required Qualifications:

• High School Diploma or GED.

• Valid California Driver’s License, reliable transportation, and active auto insurance (position requires travel to member homes, community sites, and clinics across Humboldt County).

• Live in Humboldt County.

• Ability to pass health clearances required by partner FQHCs 

Preferred Qualifications:

• Prior experience in community-based healthcare, social services, or care management.   

• Bilingual in English and Spanish.

• Lived experience with Medicaid/Medi-Cal and/or managing chronic conditions 

• CHW certification or obtain within 18 months of hire