Services/Community Health Workers

CHW

Community Health Workers

CHWs are trusted neighbors trained to help you self-advocate, navigate the system, and connect to the right resources in your own community and language.

How it works

Delivering culturally aligned care that connects health and social services to enhance community well-being.

01

Health Navigation

CHWs guide you through the healthcare system — explaining benefits, scheduling appointments, arranging transportation, and helping with paperwork.

02

Health Education & Coaching

Culturally appropriate education on chronic conditions, preventive care, and lifestyle change — coaching that meets you where you are.

03

Care Coordination

Acting as your liaison across providers — tracking referrals, supporting medication adherence, and smoothing care transitions.

04

Social Support Services

Connecting you to housing, food security, and employment resources, with translation and interpretation whenever it's needed.

05

Advocacy & Community Engagement

Representing your needs within the healthcare system and teaching self-advocacy skills you can carry forward.

06

Cultural Mediation

Bridging cultural gaps between providers and members, supporting traditional practices, and facilitating respectful cross-cultural communication.

07

Direct Client Support

Home visits, practical and emotional support, basic needs assessments, and the confidence-building that turns intent into action.

Proven results

The challenge — and the impact

Statewide data from the California Department of Health Care Services (DHCS), Medi-Cal, and CalAIM.

How we overcome it

What Pacific Health Group does about it

Each challenge above is paired with the concrete way our care model addresses it on the ground.

01

Hired from the communities we serve

Our CHWs share language, culture, and lived experience with members — the single biggest predictor of whether someone trusts the health system enough to engage with it.

02

We use the standing recommendation

Members can access CHW services without chasing down a separate physician order each time — exactly what the 2024 DHCS standing recommendation was designed to enable.

03

Focused on the upstream wins

Medication reconciliation, chronic disease coaching, appointment follow-through — the unglamorous work that quietly keeps people out of the emergency room.

Who it's for

Does any of this sound like you or someone you know?

Community Health Workers is designed for the situations below. If even one fits you or someone you love, you likely qualify at no cost through your Medi-Cal plan.

  • 01

    Anyone new to Medi-Cal benefits

  • 02

    Members with language or access barriers

  • 03

    Communities historically under-served

  • 04

    Members managing chronic conditions like diabetes or hypertension

  • 05

    Pregnant or postpartum members needing community-based support

  • 06

    Newly arrived immigrant and refugee families

  • 07

    Seniors who need help navigating appointments and medications

  • 08

    Members reconnecting with care after a hospital or jail discharge

What's included

Benefits

Tangible support you can count on from day one — fully covered by your Medi-Cal plan.

  • 1:1 navigation & advocacy

    A trusted person from your own community walks you through benefits, appointments, and paperwork — and speaks up on your behalf when the system gets stuck.

  • Bilingual & culturally aligned

    Care delivered in your language, by someone who shares your background — closing the trust gap that keeps so many members from engaging with care.

  • Education & self-management coaching

    Practical coaching on chronic conditions, medications, and preventive care — building the confidence to manage your own health between visits.

  • Warm hand-offs to care teams

    When a clinical need shows up, your CHW makes a live introduction to the right provider — not a phone number on a slip of paper.

  • Home & community visits

    CHWs meet you at home, at the clinic, or in your neighborhood — building the trust and consistency that phone calls and portals can't.

  • Benefits & resource enrollment

    Help signing up for Medi-Cal, CalFresh, WIC, housing programs, and other community resources — with someone who knows the paperwork and the people.

Ready to get started?

Become a member online in minutes, or call us and a specialist will walk you through it — at no cost when covered by Medi-Cal.