Bilingual Community Health Worker, Hospital Care Transition Program

RI Parent Information Network


Job Summary:

The Community Health Worker (CHW) is a peer who has experience in navigating Rhode Island’s health system for themselves, a family member or through previous employment. This CHW will work in RIPIN’s Hospital Care Transition Program, which supports Rhode Islanders who may be good candidates to discharge from the hospital back to their homes or other community settings, but need a little extra assistance to make that possible. The CHW will be a critical part of a comprehensive team providing options counseling, resources and referrals for post-hospital care. CHWs will engage with consumers in hospital settings providing person centered, culturally sensitive support, and building on the values, strengths and preferences of the patient. The CHW will also serve as an effective role model and mentor.

Essential Functions:

  • Assist patients and families in understanding and accessing informal and formal options for post-discharge care benefits including copay and cost of care. Review and educate on benefits and eligibility for Medicaid Fee-For-Service, Medicaid/Medicare Managed Care, Medicare Advantage Plans, and any available private insurances. Assist the consumer in completion and submission of enrollment or benefit applications. Refer consumers to other services and public or private agencies for additional supports as needed.
  • Utilizing motivational interviewing skills and culturally sensitive methods to collaborate with patients to explore preferred post-discharge supports and identify social determinants of health and/or areas of need within their community environment. Review care options including natural supports, home care services, medical equipment, adult day health programs, senior centers and assisted living communities.
  • Coordinate with hospital discharge and health plan staff to enable post-discharge home and community supports to be established in a timely manner.
  • Assist consumers as they transition to independence/case closure by engaging with consumers and providing follow up support
  • Maintain timely, accurate records, documentation, and reports as required
  • Actively participate and complete training and professional development activities
  • Assist in statewide system analysis, planning and coordination with state agencies, state and local boards, community-based organizations, and community rehabilitation programs
  • Accept other duties and responsibilities as assigned

Knowledge, Skills and Abilities:

  • Ability to demonstrate sensitivity towards, relate to, form trusting connections with, and motivate consumers as a peer mentor and to address barriers to care, health and wellness
  • Knowledge of Rhode Island health systems, terminology, supports, and services
  • Demonstrated ability and skill to work collaboratively with co-workers, consumers, families, service providers, and health plans, etc.
  • Skilled and/or willingness to learn and initiate motivational interviewing techniques with consumers
  • Demonstrated prior success in accessing community-based resources in Rhode Island
  • Strong written and oral communication skills
  • Excellent organizational skills to manage multiple priorities and tasks
  • A deep understanding of, commitment to, and ability to carry out the mission, vision, philosophy and values of RIPIN
  • Demonstrated proficiency with Microsoft Office/computer skills to enter data, prepare reports and correspondence
  • Demonstrated written and verbal fluency in Spanish require

Education and Experience:

  • High School diploma or GED
  • Attained or working towards a bachelor’s degree, or a combination of education, experience, and skills to effectively carry out responsibilities and assignments
  • Community Health Workers certification preferred; non-certified incumbents are expected to earn certification within 18 months of hire date
  • Personal experience navigating state and community services and programs on behalf of self or a family member
  • Previous experience supporting families or individuals with special care needs or disabilities or families or individuals accessing health programs and services
  • Demonstrated ability to work both independently and as an effective team member
  • Demonstrated experience working with diverse populations
  • A combination of education and experience demonstrating acquisition of the skills and abilities required

Physical Demands:

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. While performing the duties of this job, the employee is regularly required to climb stairs, reach, stretch, stand and bend. The employee frequently lifts and/or moves up to 25 pounds. Community Health Workers are required to climb up to three flights of stairs to conduct home and community visits.

Working Conditions/ Work Environment:

  • Primary work location is a climate-controlled indoor hospital or office environment; however, employee will also be required to conduct visits in private homes and various community locations
  • A significant portion of work may be based out of a hospital location, which may bring elevated risk of exposure to COVID-19 or other infectious diseases.
  • Must have suitable space to work remotely at home as needed. 
  • Must be able to provide own reliable transportation to facilitate visits to client’s home or community setting and travel between multiple provider sites.
  • Flexibility for occasional travel related to job requirements
  • Willingness and ability to work limited evenings and weekends as needed
  • Provide own reliable transportation with proof of RI minimum requirements of auto insurance 

How to Apply

To view a complete job posting and to apply online, visit:

Please note: As of January 10, 2022, all persons employed by RIPIN are required to have completed a full vaccination series against the COVID-19 virus or submit to weekly COVID-19 PCR testing.

RIPIN provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, or status as a covered veteran in accordance with applicable federal, state and local laws.

RI Doula Bill Passes!

At long last the day is here…. Doula care is OFFICIALLY covered by insurance as of July 1, 2022

This means that nearly all Rhode Islanders can access doula care through their Medicaid or commercial insurance. (Some exclusions apply visit

Certified CHWs needed for Focus Group

RICB is accepting applications from Certified Community Health Workers (CCHWs) who are interested in participating in updating the Content Outline. During this focus group meeting, participants will discuss domains (overarching categories), knowledge, tasks, and competencies that relate to the various job functions of a CCHW. We are seeking professionals with diverse backgrounds to participate in this process. RICB will train all participants prior to the meeting.

By submitting this application, you agree to participate in a one-hour training webinar (multiple dates will be scheduled) and to attend the focus group meeting. The focus group meeting will be held in August via Zoom. It will be scheduled for 2 consecutive days for 4 hours each day. 

Continuing education hours will be issued to professionals. These hours can be used for recertification.

In order to be considered for participation in this process, professionals must hold a current and valid CCHW through RICB. No exceptions will be made. To be sure we have as diverse group as possible, and fairly represent the profession, all questions in this survey must be answered. Incomplete applications will not be considered for selection.

If you know a qualified professional for this process, please share this email with them. Thank you in advance for your assistance in making this a success.

The deadline to complete this application is May 23, 2022. Selected professionals will be notified in June 2022.

Please allow 20-30 minutes to complete this application. You will be required to upload a CV or resume at the end of the application.

Click here to begin the application.

Medicaid Funded Higher-Education for CHWs!

Financial Support for Higher Education!
Employer Info Session
Monday May 9, 10am

With funding made available to Medicaid through the American Rescue Plan Act, EOHHS is launching a Health Professional Equity Initiative that will offer comprehensive academic, social, and financial support for HCBS (Home & Community Based Services) paraprofessionals to pursue a pathway leading to higher education credentials, degrees, and/or professional licensure – at no cost to your agency or employees.

To make this possible, EOHHS is investing $3 million in a partnership withRI Reconnect [], a program run bythe RI Office of the Postsecondary Commissioner (RIOPC).  Here’s how it will work: 

First, we will hold two Employer Information Sessions for you to learn more about this program so that you can inform and encourage your staff to consider this opportunity.  These sessions will be held on:

Monday, May 9 from 10 – 11 AM

Meeting ID:  836 8651 3071

Passcode:  795078

Tuesday, May 10 from 1 – 2 PM

Meeting ID: 817 2686 1784

Passcode:  545922

Second, the RI Reconnect program will meet with eligible employees to provide them with information about the Health Professional Equity Initiative.  These meetings can be held in English, Spanish, or Portuguese, and online or in-person.

A major goal of this initiative is to help employees understand higher education options (undergraduate and graduate degrees) that may help with their career progression. For those employees that express interest, RI Reconnect “Navigators” will assess their educational and professional background, and assist them with identifying and mapping a degree pathway which they can use to apply for this upskilling opportunity based on program criteria and eligibility. Once a person is selected for this program, Navigators will provide assistance with applying, enrolling, and progressing through an educational path, cover tuition expenses, identify any barriers to success (i.e. technology, childcare, transportation, etc.), provide funded wrap-around supports to remove identified barriers, and ensure they remain meaningfully engaged in their educational opportunities and their jobs.  All of these services are offered at no-cost to the participant or to your organization.

EOHHS is committed to using American Rescue Plan funds to support HCBS agencies and workers and to increasing equity, diversity, and cultural and linguistic competence among HCBS health professionals in Rhode Island.  We look forward to meeting with you next week!



The Commission for Health Advocacy & Equity is seeking new members. We’d love to see a CHW become a commissioner!

The Commission’s Mission: 

  1. To advocate for the integration of activities that will help achieve health equity;
  2. To advise the Governor, the General Assembly, and the Rhode Island Department of Health (RIDOH) on racial, ethnic, cultural, and socioeconomic health disparities;
  3. To develop and coordinate the expertise and experience of the state’s health and human services, housing, transportation, education, environment, community development, and labor systems to develop a comprehensive health equity plan that addresses the social determinants of health;
  4. To develop health equity goals and plans in alignment with other statewide planning activities; and
  5. To educate State agencies on health disparities.

To apply, go to the Commission’s website and scroll to “Interested in Becoming a Commission Member.”  For questions email Michelle Wilson.  After you apply, please let James Day know so we can track CHW applications!  Good Luck! 

Emergency Food & Shelter Program funding application available


The EFSP supplements and expands the ongoing work of local social service organizations, both nonprofit and governmental, to provide shelter, food, and supportive services to individuals, families, and households who are experiencing, or at risk of, hunger and/or homelessness.

APPLICATIONS ARE DUE BY 4:00PM, Thursday, May 26th, 2022

Please know that applications that are either incomplete or late will not be considered for funding.

Mail or deliver 3 hard copy applications (original and 2 copies) to:

Melanie Monteiro
Rhode Island Emergency Food and Shelter Program
c/o Office of Community Services and Catholic Charities
One Cathedral Square
Providence, Rhode Island 02903 

Please also submit a PDF/scanned copy of your application via e-mail to Melanie Monteiro at

Link to Application

Black Maternal Health Conference

Friday, April 8th, 2022
10 AM – 5 PM ET
5th Annual Black Maternal Health Conference (BMHC)

Get ready to be part of an enlightening day of learning and connecting with doulas, researchers, government officials and other experts on Black maternal health.  For the past five years the BMHC, led by Dr. Ndidiamaka Amutah-Onukagha, has addressed Black maternal health disparities from different themes.  The theme for 2022’s conference is “The Role of Policy in Addressing Black Maternal Health Disparities”. This conference will benefit public health/medical professionals, community organizers, students and anyone invested in supporting Black maternal health.
Register at

$100 Gift Card for CHW Test Group Participation

Traducción al español a continuación.

Pro-Change Behavior Systems, Inc. is a small Rhode Island health behavior change company. We are working on an interactive text message program (called bRIght communities) to improve the health of all Rhode Islanders. If people are at risk of high blood sugar, the program will urge them to sign up for the Centers of Disease Control and Prevention’s (CDCs) free Diabetes Prevention Program. The program will be available in English and Spanish.

Pro-Change is looking for English and Spanish-speaking usability testers who will: 1) participate in a half-hour virtual meeting to learn about and share thoughts about the program, 2) receive texts from the program for 10 days, 3) provide feedback on their experience in a 1.5 hour virtual interview. Testers will receive a $100 gift card (Amazon, Wal-Mart, or Visa) for participating. Usability testing will take place in March of 2022.

Participants must be Rhode Island residents who are age 18 or older, do not have diabetes, and are not pregnant. 

We are specifically interested in including Community Health Workers as usability testers. We believe their unique experiences in this role will provide crucial feedback to help us improve the program before launching state-wide in May. 

If you are working with a community member who may be interested, please feel free to share this opportunity with them. We especially want to include the voice of underrepresented communities.

To learn more, please text/call Sara Balestrieri at 401-360-2983 or email

Pro-Change Behavior Systems es una compañía de cambio de comportamiento de salud en South Kingstown, Rhode Island. Están trabajando en el desarrollo de un programa de mensajes de texto para mejorar la salud de todos los habitantes de Rhode Island. Si las personas corren el riesgo de tener un nivel alto de azúcar en la sangre, el programa les urgirá inscribirse en el programa gratuito de prevención de la diabetes de los Centros para el Control y la Prevención de Enfermedades (CDC). Como hemos hablado con usted en el pasado sobre el Programa de Prevención de la Diabetes, pensamos en usted. El programa estará disponible en inglés y español.

Pro-Change está buscando personas que hablan inglés o español para probar un programa. Ellos: 1) participarán en una reunión virtual de media hora para conocer y compartir opiniones sobre el programa, 2) recibirán mensajes de texto del programa durante 10 días, 3) brindarán comentarios sobre su experiencia en una entrevista virtual de una media hora. Recibirán una tarjeta de regalo de $100 (Amazon, Wal-Mart o Visa) por participar. Las pruebas del programa y las entrevistas se realizarán en marzo de 2022.

Los participantes deben ser residentes de Rhode Island mayores de 18 años, no tener diabetes y no estar embarazadas.

Estamos interesados en incluir trabajadores comunitarios de la salud en esta prueba del programa. Creemos que sus experiencias únicas en este puesto brindarán comentarios cruciales para ayudarnos a mejorar el programa antes de lanzarlo en todo el estado en mayo.

Si está trabajando con un miembro de la comunidad que pueda estar interesado, no dude en compartir esta oportunidad con ellos. Especialmente queremos incluir la voz de diversas comunidades.

Para obtener más información, llame a Sara Balestrieri al 401-360-2983 o envíe correo electrónico:

Vaccine Hesitation SURVEY!


The Office of Regional Health Operations (ORHO) in the U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Health (OASH), is requesting your support in an important initiative aimed at increasing community knowledge and confidence in vaccines among older African American adults with a focus on community health workers (CHWs).

We would like to invite you to participate in a brief online survey specific to vaccine messaging and vaccine uptake. Survey responses will be anonymous and should take about 20 minutes to complete.   Your participation is important and will help ORHO to:

  • Assess the effectiveness of culturally appropriate promotional materials to increase community knowledge of and confidence in herpes zoster and pneumococcal vaccines among African American CHWs over the age of 50.
  • Assess perceptions of risk, barriers, and motivations related to general uptake of adult vaccines, including the COVID-19 vaccine.

We would appreciate you disseminating this survey within your organization and networks, particularly among African American CHWs aged 50 and older.

Accessing the Survey

To access and complete the survey, please click on the following link:  This link can also be forwarded to individuals and organizations within your networks. We kindly request that the survey be completed no later than Monday February 28, 2022.
Thank you in advance for your participation. If you have any questions about this project, please contact Corstella Johnson ( If you are having technical difficulties completing the survey, please contact

Project Overview
ORHO connects people, convenes local partners, and establishes networks to promote and advance the public health and safety of the American people. Regional Health Administrators (RHAs) within each of the 10 HHS Regional Offices serve to foster coordination and collaboration across federal departments and HHS agencies and as extensions of OASH to ensure that HHS priorities are translated and implemented at the local, state, tribal, and national levels.

Register for HEZ Learning Community by RIDOH

Registration is now open for the February 2022 HEZ Learning Community, a three-day series of virtual workshops and learning experiences from February 1 – February 3, 2022! Sessions will cover topics including climate change, policy advocacy, the built environment, and more.