Fairview Health Services Community Health Worker in Edina, Minnesota


The community health worker (CHW) is responsible for helping community members, patients and their families access and navigate community services and resources and adopt healthy behaviors. The CHW supports providers and team members through an integrated approach to care management and community outreach. Activity will promote, maintain and improve individual and community health. The CHW provides social support and informal counseling, individual and group health education and advocacy for individuals and community health needs. Providing home visits and health screenings may be required.

Responsibilities/Job Description

This Community Health Worker (CHW) position supports Fairview Partners (FVP), a care coordination program serving a population of dual-eligible adults age 65 and older. In addition to the job expectations in the core job description, the FVP CHW will serve as a member of the care coordination team to provide the following supports to the FVP population:

  • Advance Care Planning facilitation (training provided)

  • In-home visits to provide education, resource referral and service coordination

  • Gaps in care outreach

  • Department specialist for senior housing resources

Provide Direct Services

  • Promote wellness by providing culturally appropriate health information to providers, patients and/or community members

  • Provide individual social and health care support

  • Refer and link to preventive services through health screenings and healthcare information

  • Conduct health related screenings as assigned

Navigate the health and human services system

  • Increase access to primary care through culturally competent outreach and enrollment strategies

  • Make referrals and coordinate services

  • Teach people the knowledge and skills needed to obtain care

  • Facilitate continuity of care by providing follow-up

  • Link patients to and inform them of available community resources Advocate for individual and community needs

  • Articulate and advocate needs of community and individuals to others

  • Be a spokesperson for patients when they are unable to speak for themselves

  • Involve participants in self and community advocacy

  • Map communities to help locate and support needed services

  • Bridge the gap between communities and the health and social service systems

  • Enhance care quality by aiding communication between health system, patient, and community members to clarify cultural practices

  • Educate patients / community members about how to use the health care and social service systems

  • Educate the health and social service systems about patient / community needs and perspectives

  • Establish better communication processes Build Individual and Community Capacity

  • Build individual capacity to achieve wellness

  • Build community capacity by addressing social determinants of health

  • Identify individual and community needs

  • Mentor other CHWs – capacity building

  • Seek professional development (continuing education)



  • Associate degree and completion of accredited Community Health Worker program required.


  • 1-3 years experience working on community health projects, programs or initiatives

  • Community-based leadership experience

  • Experience, demonstrated competency and sensitivity in working with diverse populations


  • Community Health Worker certificate required



  • College degree in health, human services or related field


  • Teaching or presenting information to groups

  • Experience with Epic, Microsoft Office and Microsoft Excel

  • Experience working with older adults in various care settings. Knowledge of state and public health programs and eligibility requirements is preferred. Bi-lingual skills not required, however, candidates with fluency in Somali, Karen or Hmong languages are encouraged to apply.

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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.

Requisition ID 2018-28141

Profession Clinical/Direct Patient Care (non-nursing/allied Health)

Speciality Administrative/Clerical/Customer Service

Location Southdale Place

Shift day

Hours per 2 weeks 1.00

Department Administration