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Community Health Advocate - job 2 of 2

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Description
Company: Oak Street Health
Title: Community Health Advocate (RBE)
Location: Remote / Field-Based - Multiple Locations
Role Description
Community Health Advocates (CHAs) work one-on-one with high-risk patients to get to know them as people and help them do the things that they think will improve their health such as offering a listening ear, connecting them to resources like food delivery, navigating the health system, or working out with them at the YMCA. This is an autonomous position which requires a consistent drive for excellence, ability to make appropriate and timely decisions, listen with empathy, and use effective problem-solving skills. CHAs are responsible for thorough and accurate documentation and working collaboratively within a multidisciplinary care team.
Core Responsibilities
  • Manage a caseload of patients and achieve established benchmarks for patient care
  • Meet patients in their homes, at the hospitals or primary care clinic and conduct open-ended needs assessment to understand broadly what patients’ goals are for their health
  • Use motivational interviewing to help patients create person-centered action plans for reaching their health goals.
  • Use of critical thinking to create goals for patient success based on both clinical and patient identified goals
  • Provide a wide variety of support (including emotional support, referral to community based resources, social services, clinical services, etc.) based on CHA discretion and available resources
  • Make weekly contact (follow up calls and/or home visits) to patients
  • Coordinate and communicate with clinical care teams to provide relevant information about patients goals, clinical emergencies, and patients concerns, and to obtain medical information needed to inform CHA work
  • Co-facilitate a weekly support group for patients, where applicable 
  • Work with other CHAs and staff to create a directory of community resources (e.g. food banks, housing assistance programs, childcare resources, etc.
  • Attend interdisciplinary meetings with other medical professionals to align on readmission prevention planning
  • Expertise in navigating Health Plan benefits and resourcing
  • Accompaniment to specialist and provider visits
  • Establishing and maintaining positive relationships with hospitals, PCPs, specialists and support staff to ensure seamless care coordination
  • Patient advocacy and support while navigating Social Determinants of Health
  • Efficient, quality and thorough documentation of patients enteractions including actions and goals of care to ensure effective communication among healthcare team members
  • Navigate patient enrollment within transitional program and manage referrals from other team members
  • Form relationships with and build an inventory of local community organizations 
  • Other duties, as assigned

 
What We are Looking For
Degree Requirements and Minimum Experience Required:
  • High School Diploma required.
  • Long-time resident of assigned location and good knowledge of the resources of these communities.
  • Comfortable with home visits and outreach
  • Prior experience as an outreach worker a plus
Skill Requirements:
  • Ability to exercise good judgment with patients, clinical care teams, others involved in the delivery of interventions
  • Ability to effectively manage time and tasks, prioritize, and stay organized
  • Excellent oral and written communication skills
  • Exceptional active listening skills
  • Proficient in MS Word and computer data entry
  • US work authorization
  • Someone who embodies being Oaky

 
What does being Oaky look like?
  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being relentlessly determined
Why Oak Street Health?
Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.
Oak Street Health Benefits: 
 
  • Mission-focused career impacting change and measurably improving health outcomes for medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement
 
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/07/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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Average salary estimate

$59678.8 / YEARLY (est.)
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$38560K
$80797.6K

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What You Should Know About Community Health Advocate, CVS Health

At Oak Street Health, we believe in reimagining healthcare, and that's where the role of the Community Health Advocate comes in! If you’re passionate about making a real difference in the lives of others, this position in Pennsylvania is perfect for you. As a Community Health Advocate, you'll work directly with high-risk patients to understand their unique health goals and provide vital support tailored to their needs. It's all about building relationships, offering a helping hand, and connecting patients to essential resources—whether it's food delivery, navigating the healthcare system, or even working out together at a local gym. You’ll have the autonomy to make critical decisions while collaborating with our dedicated multidisciplinary care teams. You'll manage a personalized caseload, conduct home visits, and utilize motivational interviewing techniques to develop action plans centered on individual health aspirations. Communication skills are key, as you'll be the bridge between patients and healthcare providers, ensuring seamless care and advocacy around critical social determinants of health. Plus, with the flexibility of remote work in the field, you can enjoy a dynamic work-life balance while making a tangible impact in your community. Join us at Oak Street Health, where your efforts will genuinely resonate as we strive to provide compassionate, patient-centered care to our Medicare-eligible community members!

Frequently Asked Questions (FAQs) for Community Health Advocate Role at CVS Health
What responsibilities does a Community Health Advocate at Oak Street Health have?

As a Community Health Advocate at Oak Street Health, you will engage directly with high-risk patients on a one-on-one basis, helping them prioritize their health goals. Your responsibilities will include conducting needs assessments, forming personalized action plans using motivational interviewing techniques, making regular follow-up visits, and facilitating support groups. Furthermore, you'll document your interactions and collaborate with clinical teams to ensure a cohesive approach to health management.

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What qualifications are required for the Community Health Advocate position at Oak Street Health?

To become a Community Health Advocate at Oak Street Health, a high school diploma is required. Beyond that, familiarity with the community resources in your assigned area and prior experience as an outreach worker will greatly benefit your effectiveness in this role. Strong communication, organization, and active listening skills are also essential, as is the ability to prioritize tasks and make sound judgments in patient interactions.

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How does the Community Health Advocate support patients at Oak Street Health?

At Oak Street Health, Community Health Advocates play a crucial role in supporting patients by establishing trusting relationships, providing emotional support, and connecting them with community resources such as food banks or mental health services. Your work will involve understanding their unique challenges and helping them navigate the healthcare landscape, ensuring they have access to the resources necessary for achieving their health goals.

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Can you describe the work environment for the Community Health Advocate at Oak Street Health?

The work environment for a Community Health Advocate at Oak Street Health is dynamic and community-focused. While much of the work may involve home visits and field outreach, there is also an emphasis on teamwork and collaboration within a multidisciplinary care model. You will participate in various meetings with healthcare professionals, allowing for shared insights and aligned patient care strategies, all while promoting a patient-first culture within the organization.

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What growth opportunities are available for Community Health Advocates at Oak Street Health?

At Oak Street Health, Community Health Advocates have access to numerous opportunities for professional development and advancement. The organization places a strong emphasis on leadership development and continuing education, allowing you to hone your skills and potentially move into higher-responsibility roles as you grow with the company. Oak Street Health fosters a culture of innovation where your contributions to transforming healthcare can lead to significant career progressions.

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Common Interview Questions for Community Health Advocate
How would you approach conducting a needs assessment for a patient?

When tasked with conducting a needs assessment for a patient, focus on open-ended questions that encourage them to share freely about their health goals and challenges. Emphasize active listening and empathy, ensuring they feel heard. It's essential to gather both clinical information and personal context to develop a comprehensive understanding of their needs.

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What techniques would you use to motivate a patient to adhere to their health action plan?

To motivate a patient to adhere to their health action plan, utilize motivational interviewing techniques, emphasizing their intrinsic motivations and stress the importance of small, achievable goals. Celebrate their progress and provide consistent follow-up to keep them engaged and accountable, making adjustments to the plan as needed to fit their lifestyle better.

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Can you give an example of how you would coordinate care with a clinical team?

Coordinating care with a clinical team can involve regular communication about a patient's status, sharing information about any challenges the patient faces, and discussing their goals. For example, you might relay information to a physician during interdisciplinary meetings, ensuring the clinical team is aware of any social determinants affecting the patient's health and advocating for necessary adjustments to their care plan.

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What strategies would you use to establish rapport with patients?

Building rapport with patients starts with demonstrating empathy and active listening. Make sure to create a welcoming environment and show genuine interest in their stories. Use their names, maintain eye contact, and encourage them to express their concerns without interruption. Sharing a bit about yourself can also help make the connection feel more personal.

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How do you manage your time and prioritize tasks in a role like Community Health Advocate?

Time management for a Community Health Advocate involves establishing a structured schedule, prioritizing patient visits based on urgency, and keeping flexible. Utilize tools like calendars and task lists to track follow-ups and create reminders for important deadlines or appointments, ensuring you remain organized while addressing patient needs efficiently.

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Describe how you would handle a situation where a patient is resistant to your assistance.

If a patient is resistant to assistance, it's crucial to approach the situation with patience and understanding. Engage them in conversation to uncover the reasons behind their reluctance, and validate their feelings. Providing education about the benefits of the resources available might help shift their perspective. Establishing trust is key, so continue to offer support without pressure.

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How would you address a patient’s social determinants of health?

Addressing a patient’s social determinants of health involves conducting thorough assessments of their living situation, socioeconomic status, and support systems. From there, offer tailored resources that may alleviate barriers, such as connecting them with social services or local programs to address food insecurity or transportation challenges.

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What role does documentation play in the Community Health Advocate position?

Documentation is critical in the Community Health Advocate role as it ensures clear communication among healthcare team members and maintains a comprehensive record of patient interactions. Accurate documentation allows for tracking patient progress, coordinating care, and meeting established benchmarks while facilitating seamless follow-up and ongoing support.

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How would you promote awareness of community resources among patients?

To promote awareness of community resources among patients, actively share information during your interactions, leveraging your knowledge of local programs tailored to their needs. Creating and distributing resource directories or materials within support groups can further enhance their access to vital services. Building relationships with community organizations also lends credence to your recommendations.

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What personal qualities make you an effective Community Health Advocate?

Personal qualities that contribute to being an effective Community Health Advocate include empathy, strong communication skills, and being approachable and nonjudgmental. Additionally, possessing a passion for helping others and a commitment to patient-centered care are paramount, as they empower you to make a meaningful impact in the lives of your patients.

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We help people with their health wherever and whenever they need us. And we do it with heart. Because our passion is our purpose: Bringing our heart to every moment of your health™.

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Full-time, remote
DATE POSTED
April 11, 2025

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