CHPcommunity, LLC HUB Navigator/Community Health Worker (CHW) Remote · Part time

Apply for HUB Navigator/Community Health Worker (CHW)

CHPcommunity is a local nonprofit organization managing the Iowa Community HUB. the HUB is a a statewide support system for programs and services that improve health, prevent injury, and enhance quality of life. We connect a network of partners working together to support evidence-based health promotion programs and services in Iowa.

The HUB Navigator/Community Health Worker (CHW) is a grant-funded, part-time position that strengthens connections between community-based screening, clinical care, and evidence-based programs across Iowa, including rural and underserved communities. Working in coordination with the Iowa Community HUB and MyHealthIowa (MHI), the Navigator participates in selected community screening events, assesses participant needs, provides tailored education, and supports closed-loop referrals to diabetes prevention and management programs, healthy eating and physical activity programs, medical homes, cancer screening and survivorship resources, and services that address health-related social needs. The role also supports screening-event coordination, partner engagement, participant follow-up, documentation, and grant reporting, with a major focus on building diabetes-specific navigation capacity for individuals living with diabetes or at high risk of developing diabetes.

Essential Functions: Essential functions for this position include the following items. Other duties may be performed as assigned or required.

Community Screening & Event Support

• Participate in selected MHI community screening events and provide participant-facing navigation support before, during, and after events.
• Conduct brief needs assessments based on screening findings, participant goals, chronic disease risk, and identified health-related social needs.
• Provide tailored education at the point of screening and reinforce appropriate next steps related to prediabetes and diabetes, healthy eating, physical activity, medical homes, cancer screening and survivorship, and other chronic disease resources within the scope of the Navigator role.
• Assist with screening-site planning and preparation, outreach and promotion, event postings and communications, partner coordination, volunteer communication, and equipment/supply logistics as assigned.
• Support recruitment and engagement of new screening partners and maintain strong working relationships with existing community partners.
• For participants with an identified food-related need who meet applicable program criteria, coordinate eligible produce-box support and connect participants with longer-term food and nutrition resources.

Navigation & Referral Coordination

• Manage and process referrals originating from community screenings, healthcare partners, community organizations, and other Iowa Community HUB pathways.
• Educate participants about available evidence-based programs and community services, review eligibility requirements, and assist with registration, enrollment, required forms, and surveys as appropriate.
• Connect eligible individuals to programs and services that may include the National Diabetes Prevention Program (National DPP), Diabetes Self-Management Education and Support (DSMES), Better Choices, Better Health, physical activity and nutrition programs, medical homes, cancer screening and survivorship resources, and supports addressing health-related social needs.
• Provide ongoing navigation and follow-up to help participants overcome barriers such as language, transportation, cost, scheduling, technology, and difficulty accessing services.
• Track referral status, enrollment, participation, retention, and outcomes as required, and follow up to determine whether connections to care, programs, and resources were successful.
• Maintain closed-loop communication with referring providers and community partners, consistent with privacy requirements and applicable program workflows.

Diabetes Prevention & Management Navigation

• Serve as a Community Health Worker/Diabetes Navigator supporting individuals living with diabetes and individuals at high risk of developing diabetes.
• Complete and maintain diabetes-specific navigation and Community Health Worker training required by current contracts or program standards.
• Help strengthen the statewide diabetes prevention and management navigation pathway through the Iowa Community HUB by identifying appropriate prevention, management, and supportive services.
• Support outreach and relationship development with healthcare providers and nonprofit organizations to strengthen referral pathways into diabetes prevention and management programs.
• Contribute to development and maintenance of diabetes navigation resources and web-based information for providers, community organizations, and participating partners as assigned.
• Support current grant and contract performance goals related to screening, referral, navigation, program connection, partner engagement, and outcome tracking.

Data, Partnership & Grant Support

• Collect, enter, maintain, and report screening, referral, navigation, enrollment, follow-up, and outcome data accurately and on time.
• Accurately document time and activities by funding source/project to support braided-funding compliance, grant monitoring, and audit readiness.
• Coordinate with Iowa Community HUB and MHI staff regarding screening schedules, participant follow-up, referral workflows, program needs, and reporting.
• Attend required meetings, staff trainings, project check-ins, and grant-related meetings.
• Maintain up-to-date knowledge of HUB standards, policies, procedures, evidence-based programs, referral resources, and applicable contract requirements.
• Contribute to continuous quality improvement efforts that strengthen navigation, care coordination, partner engagement, and participant experience.

Responsibilities

• Treat all individuals and families with respect, empathy, cultural humility, and confidentiality.
• Communicate clearly, compassionately, and in a culturally and linguistically responsive manner, tailoring information to the participant's needs, preferences, and level of understanding.
• Provide education, navigation, and resource connection within the scope of the position; clinical diagnosis and treatment are outside the Navigator role unless separately licensed and specifically assigned.
• Adhere to HIPAA and other applicable state and federal privacy requirements when handling personal and health information.
• Foster a professional and collaborative work environment across Iowa Community HUB, MHI, healthcare organizations, and community partners.
• Demonstrate reliability and flexibility for community-based work, including selected evening and weekend screening events and travel to partner sites.
• Actively participate in ongoing learning opportunities and contribute to improving navigation processes, referral coordination, and community-clinical linkages.

Qualifications

The requirements listed below are representative of the minimum knowledge, skills, and ability required.

Education/Experience

• Must be at least 18 years old.
• High school diploma or GED required; additional education in health, public health, social services, community health, or a related field preferred.
• Community Health Worker training preferred; selected candidates without prior training must be willing to complete CHW and diabetes-navigation training as required.
• Experience with community outreach, health screenings, care navigation, referral coordination, or community-based health programs preferred.
• Experience working with underserved and diverse populations, including rural communities, is preferred.
• Knowledge of, or willingness to learn, diabetes prevention and management resources, evidence-based health promotion programs, and services addressing health-related social needs.
• Experience navigating health and social service systems and helping individuals connect to programs, healthcare, and community resources.
• Bilingual proficiency in English and Spanish is strongly preferred.
• Strong interpersonal skills and the ability to build trust with individuals from diverse backgrounds and with community and healthcare partners.
• Ability to meet deadlines, manage multiple priorities, work independently with minimal supervision, and coordinate effectively across teams.
• Proficient in word processing, email, data entry, virtual meeting platforms, and basic web/event or referral systems; experience with client tracking, CRM, or referral platforms is a plus.
• Ability and willingness to travel to community sites and participate in selected evening and weekend events.

Communication Skills

• Excellent customer service, active listening, telephone, verbal, and written communication skills.
• Ability to explain health and community resource information in clear, practical language and support participants with varying levels of health literacy.

Certificates, Licenses, Registrations

• Community Health Worker training is highly encouraged; the organization may support completion of training when appropriate.
• Willingness to complete diabetes-specific navigation, evidence-based program, privacy, data, and other grant-required trainings.
• Child and Dependent Adult Abuse Mandatory Reporter Training is encouraged; assistance may be provided to access this training as needed.

Physical Demands & Work Environment

• The physical demands described here are representative of those that must be met by an employee to successfully perform the key functions of this job.
• Approximately 70-80% of the role may involve computer-based, telephone, virtual meeting, documentation, outreach, and referral-coordination tasks.
• Approximately 20-30% of the role may involve community screenings, health fairs, partner meetings, and other off-site activities; the mix may vary based on the event calendar and grant priorities.
• Must be able to carry a laptop and light screening/event supplies to off-site locations as needed.
• Requires the ability to perform hand and wrist movements for standard administrative and data-entry tasks.
• Must be able to communicate effectively by phone and virtual platforms and in community settings.
• Must be proficient in using a computer/laptop for data entry, virtual meetings, event coordination, and retrieving referral/resource information.
• Ability to manage varying levels of stress and changing priorities in a fast-paced, community-focused environment.

If interested, contact Ernesta Martinez at 515-635-1285 or [email protected]