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Community Health Plan Jobs (NOW HIRING)

Community Health Worker

Espanola, NM · On-site

$18.33 - $27.25/hr

Community Health Worker Summary: Build your Career. Make a Difference. Presbyterian is hiring a ... Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid ...

Community Health Professional

Clovis, NM · On-site

$17.46 - $25.96/hr

Community Health Professional Summary: Serves as a liaison between patients and the healthcare team ... Participates in the planning and implementation of the plan of care as developed by the Care ...

Community Health Worker II

San Jose, CA · On-site

$22.25 - $29.25/hr

Conduct Social Determinants of Health (SDOH) screenings and assist with health plan enrollment. * Provide support at multiple work locations, including clinics and community events. Required ...

$17 - $20/hr

The Community Health Worker- Clinical (CHW-Clinical) is a part of an inter-disciplinary clinical ... Review MCHN provided monthly outreach list for each covered Health Plan and develop a plan for ...

Community Health Worker

Murray, UT · On-site

$20.67 - $30.78/hr

As a trusted community liaison, the CHW partners with care managers and health plan staff to engage, educate, advocate, and coordinate services for individuals with complex health and social ...

Community Health Worker

Kent, OH

$17.25 - $22.75/hr

The Community Health Worker (CHW) provides community support services by partnering with other ... Reviews care plan developed by clinical professionals and performs appropriate follow-up activities ...

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Community Health Plan information

See salary details

$38.5K

$79K

$109K

How much do community health plan jobs pay per year?

As of Jun 23, 2026, the average yearly pay for community health plan in the United States is $78,995.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $90,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Community Health Plan Manager, and why are they important?

To thrive as a Community Health Plan Manager, you need expertise in healthcare management, population health strategies, and a relevant degree such as public health, healthcare administration, or nursing. Familiarity with healthcare data analytics platforms, electronic health records (EHRs), and regulatory compliance systems is typically required. Strong leadership, communication, and problem-solving skills set outstanding professionals apart in this role. These skills are crucial for effectively designing, implementing, and managing health plans that improve community health outcomes and ensure regulatory and financial sustainability.

What is the difference between Community Health Plan vs Community Health Worker?

AspectCommunity Health PlanCommunity Health Worker
CredentialsMay include certifications in health education or case managementOften requires certification or training in community health or outreach
Work EnvironmentAdministrative settings, health plans, clinicsCommunity-based, outreach programs, clinics
Employer & IndustryHealth insurance companies, healthcare organizationsNonprofits, clinics, public health agencies

Community Health Plan professionals focus on managing and designing health coverage options, while Community Health Workers engage directly with communities to promote health and connect individuals to services. Both roles are vital in improving public health but differ in responsibilities and work settings.

What is a Community Health Plan?

A Community Health Plan is a health insurance program designed to provide medical coverage to individuals and families within a specific community or region. These plans often focus on preventive care, wellness programs, and access to local healthcare providers. Community Health Plans may be offered by nonprofit organizations, local governments, or health insurance companies, and are tailored to address the unique health needs of the community they serve. They can be an affordable option for those who do not qualify for employer-sponsored insurance or government programs like Medicaid or Medicare.

What are some common challenges faced by professionals working in a Community Health Plan role, and how can they be addressed?

Professionals in Community Health Plan roles often encounter challenges such as navigating complex healthcare regulations, coordinating care among multiple providers, and addressing diverse patient needs within the community. Effective communication and collaboration with interdisciplinary teams are essential to overcome these obstacles. Staying updated on policy changes and engaging in ongoing training can also help professionals deliver high-quality, patient-centered care. Utilizing data-driven approaches to monitor outcomes and identify areas for improvement is another valuable strategy.
More about Community Health Plan jobs
What states have the most Community Health Plan jobs? States with the most job openings for Community Health Plan jobs include:
Infographic showing various Community Health Plan job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $78,995 per year, or $38 per hour.
Community Health Worker (43628)

$18.25 - $24/hr

Full-time

Posted 10 days ago


Job description

Health@Home is an innovative home-based primary care program developed in partnership with the Neighborhood Health Plan of Rhode Island and members' primary care teams. The program delivers evidence-based care that is both high-quality and cost-effective, aiming to enhance the quality of life for Rhode Island members.
The Community Health Worker builds trusting, supportive relationships with patients to coordinate care for individuals with complex chronic conditions. This role provides home-based primary care support for Neighborhood Health Plan members with significant medical and social needs. Working as part of an interdisciplinary care team, including Nurse Practitioners and Community Health Workers, the Community Health Worker helps deliver personalized, community-based care focused on improving health outcomes, strengthening community well-being, and reducing healthcare costs.
The Community Health Worker facilitates access to medical, behavioral, and social services by serving as a liaison between patients, healthcare providers, and community-based organizations. In close collaboration with the Nurse Practitioner and broader care team, this role supports continuity of care and the delivery of culturally responsive, integrated community-based services.
Duties and Responsibilities:
Responsibilities include, but are not limited to, the following:
  • Must be comfortable completing visits independently and as team in patients' homes. Perform 4-5 home visits per day to follow up on member's needs, assessments on patient's basic social and human needs.
  • Educate patients on alternative to emergency room for non-emergent care; assist, train and coach patients to obtain, schedule and reschedule health care appointments; explore transportation options and provide tips and techniques to ensure follow-up with service providers. Makes home visits to patients to perform assessments on patient's basic social and human needs
  • Provides direct care in patients' homes related to vitals, lab testing and phlebotomy, if applicable. Communicates findings with providers and documents in EMR.
  • Serves as patients' key contact with health care team and facilitates interpretation abilities when applicable. Support transitional care management process
  • Identifies potential medical or behavioral health concerns and collaborates nurse practitioner (NP) and/or supervisor and other healthcare providers.
  • In collaboration with care team coordinates the provision of services/care to meet the patient's social and health needs. Provides assistance to patients, families and caregivers to access basic resources such as food and housing
  • Collaborates with other health professionals, including contacting primary care provider offices, care management staff and community social service agencies on behalf of the patient
  • Effectively collaborates with Management, Community Health Coordinators and Nurse Practitioners and fosters collaborative teamwork to ensure comprehensive, patient centered care.
  • Prepares and participates in team meetings
  • Maintains appropriate written and oral communication and documents patient encounters and updates the EMR within established time frames
  • Oversight for supporting departmental HEDIS Measures
  • Cross trains with Community Health Coordinator role.
  • Maintains patient confidentiality within legal and regulatory parameters
  • Other duties as assigned
  • Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agent.

Qualifications
Required:
  • High school diploma or equivalent
  • Two (2) years' experience in providing direct patient care in the home
  • Healthcare Provider CPR certification or ability to obtain in 60 days from hire
  • Computer Literacy: Strong PC and Microsoft Office, including experience in Outlook and Electronic Medical Record (EMR) experience
  • Ability to work well in multidisciplinary team setting
  • Ability to perform basic medical assessments, including but not limited to blood pressure, finger sticks and pulse oximetry
  • Ability to communicate and relate to individuals and families of various ethnic and cultural backgrounds, ages and economic status
  • Self-motivated with Strong organizational, prioritization and time management skill
  • Bilingual in Spanish (read, write and speak)
  • Must have access to reliable transportation. A personal vehicle, a valid and current driver's license, and active auto insurance are required. Frequency of travel: daily
  • Compliant with State of RI immunization regulations for healthcare workers

Preferred:
  • Certified Nursing Assistant (CNA) license
  • Medical Assistant (MA) certification
  • Community Health Worker RI certification

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.