Community Health Worker - Asthma

New York City Health + Hospitals - South Brooklyn Health

About the organization

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.


Recruit eligible patients and conduct clinical or community-based assessments and interviews to identify their health goals and needs
Assess and address health, social and service-related needs of assigned/identified patients and create individualized, patient-centered, goal-directed care plans for each patient
Support and motivate patients to achieve their health goals by coaching them through behavior change and identifying their strengths and community supports
Help patients connect to a primary care provider, specialty care providers, community services and/or mental health services, attend medical appointments, and fill prescriptions
Assess ability of patients to manage their chronic disease(s) and work with care team to connect them to appropriate education and monitoring programs
Assist patients with social needs like food insecurity, housing issues, legal needs, or transportation and provide referrals and follow-ups, as needed (for example, helping patients fill out benefit applications or escorting them to community organizations to obtain needed services)
Educate patients on available community services, health services, and patient rights
Review Asthma Action Plan, administer the Asthma Control Test and provide Asthma/COPD education


1. One year of full-time experience in a government agency or community organization in providing community services to the public or in assisting members of the community in obtaining community services; or
2. Completion of an approved six month training program of combined classroom training and on-the-job experience in community liaison work, plus six months of full-time experience as described in 1 above.

In addition to meeting the qualification requirements of Assignment Level I, appointment to Level II requires:
1. Two additional years of full-time experience in counseling, community work or community health activities in a government agency or community organization engaged in providing community services to the public, assisting members of the community in obtaining community services or maintaining liaison with schools, community organizations or other government agencies for the purpose of providing assistance and obtaining participation and support for implementation of community or public service programs; or
2. Education and/or experience equivalent to 1 above. Study at an accredited college in sociology, psychology or other behavioral science may be substituted on the basis of 30 semester credits for each year of the experience described above. However, all persons must have at least one year of the full-time experience described above



Application instructions

Contact email: [email protected]

Job ID: 90894
Please be advised that proof of Covid-19 vaccination is required prior to hire.

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Equal Opportunity Employment

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