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Community Health Worker (SDOH) | Portfolio Company of 2070 Health

2070Health United States Of America · Remote

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Description

About the Company

2070 Health is India's first healthcare-focused venture studio –  an innovation platform that builds transformative healthcare companies in India and USA from scratch, by identifying disruptive opportunities in whitespace. We are deeply involved in idea generation, day-to-day operations, and strategic decisions of every company we build. Portfolio companies include Everbright Health, Reveal Healthtech, Elevate Now, Nivaan Care, BabyMD, and Everhope Oncology.

The Role

This role is part of a new company we are actively incubating in the US care navigation space. This is a chance to be on the ground floor of something being built from scratch.

As a Community Health Worker, you'll work directly with patients to identify and remove the upstream barriers—housing instability, food insecurity, transportation gaps, utility shutoffs—that are keeping them from getting the care they need. You're the person who solves the problems. You connect patients to resources, teach them how to navigate systems, advocate on their behalf, and follow through until the barrier is gone.

You'll work under the general supervision of a billing practitioner, and your work will be reimbursed through Medicare's Community Health Integration (CHI) codes (G0019/G0022). Meaning: this isn't volunteer work or grant-funded, this is a sustainable, reimbursable model that pays for exactly the kind of support patients desperately need.

What You'll Do

  • Build trusting, person-centered relationships with patients facing complex social and health challenges
  • Conduct person-centered SDOH assessments, set goals, and build action plans tied to each patient's treatment plan
  • Connect patients to housing authorities, SNAP/food pantries, NEMT providers, utility assistance programs, and community-based organizations (CBOs)
  • Facilitate access to care – scheduling, referrals, appointment navigation, and follow-through
  • Coach patients on self-advocacy and navigating both clinical and community systems
  • Document all activities with precision: time logs, activity descriptions, Z-codes (Z55–Z65), and linkage to the clinical care plan
  • Coordinate across the care team (billing practitioner, specialists, CBOs, social services) to ensure closed-loop referrals
  • Maintain monthly encounter notes that pass audit – referral made, referral received, barrier reduced

Requirements

  • CHW certification or equivalent training (state-recognized programs preferred)
  • 3+ years of experience in community health, social work, case management, or patient navigation
  • Exposure to Medicare/Medicaid billing or managed care environments
  • Working knowledge of SDOH domains: housing, food, transportation, utilities, social isolation
  • Comfort with time-based documentation and structured note-taking
  • Strong interpersonal skills — you build trust with patients in their hardest moments
  • Bilingual candidates strongly encouraged to apply

Benefits

  • Direct patient impact, backed by structured clinical oversight
  • Help build a company from the ground up – shape how we operate, and deliver care from day one
  • Competitive compensation + benefits