Job Title:  Peer Outreach Worker with Whole Person Care Team

Reports to: Director of Counseling and Behavioral Health

FLSA Status: Non Exempt

Hours: 40 hours/week


Job summary The Peer Outreach Worker will be responsible for helping individuals and their support system navigate and access community services, other resources, and introduce healthy behaviors. The POW supports the Community Intervention Program /Whole Person Care staff through an integrated approach to care management and community outreach. As a priority, activity will promote, maintain, and improve the overall health of individuals. Provide social support and informal counseling, advocate for individuals and community health needs. Community outreach, to locations where homeless are located, such as homeless encampments, parks, on the street, as well as home visits, will be required.

Duties & Responsibilities Duties & Responsibilities

  • Responsible for establishing trusting relationships with individuals and their support system while providing general support and encouragement.
  • Providing ongoing follow-up, basic motivational interviewing and goal setting with individuals and their support system.
  • Follow-up with individuals via phone calls, home visits and visits to other settings where individuals can be found.
  • Assist individuals with completing applications and registration forms.
  • Provide referrals for services to community agencies as appropriate. Support in accessing services referred to.
  • Help individuals connect with transportation resources and give appointment reminders in special circumstances.
  • Work with behavioral health providers, medical providers, and any other providers involved with individual to aid in the facilitation of comprehensive and coordinated care.
  • Work cooperatively with other team members assigned to the same individual.
  • Maintain current knowledge of cultural factors, health issues and community resources and services.
  • Responsible for providing consistent communication, information, and clearly reporting progress to the WPC lead worker to evaluate an individual’s status.


  • Act as an advocate and liaison between the individual and community service agencies (i.e. Department of Health Services, Homeless providers, hospitals, support groups, etc.).
  • Collects data, maintains records and prepares progress notes and reports in accordance with state and local requirements. Record care management information in SWITS (training provided) and other software as required.
  • Attend regular staff meetings, trainings and other meetings as requested.
  • Supports individual in working on the social services (employment, education, housing, health, etc.) goals of their Coordinated Care Plan, monitors progress and provides information for care plan updates.
  • Other duties as assigned.


Minimum requirements

  • High School Diploma or its equivalent, Associates of Arts degree preferred.
  • Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred.
  • Peer experience in homelessness, mental health, substance use, or complex medical condition is preferred.
  • Understand the community served – community connectedness.
  • Written and oral fluency in English required. Written and oral fluency in Spanish desired.
  • Experience working in a multicultural setting.
  • Experience working in a community-based setting.
  • Knowledge of some behavioral health and medical terminology preferred.
  • Basic computer skills.
  • Ability to initiate and maintain positive working relationships with CIP/WPC staff and other organizations.
  • Good communication skills, such as listening well, and using language appropriately.
  • Ability and willingness to provide emotional support, encouragement and motivation to clients.


  • Conducting interviews and assessments with people from diverse socioeconomic backgrounds.
  • Responding sensitively to the needs of people from a variety of socio-economic and cultural backgrounds.
  • Responding to client situations and taking effective action.
  • Researching problems, finding and applying alternative solutions.
  • Exercising sound independent judgment within established guidelines.

Knowledge, Skills, & Abilities Current CA driver’s license. Current and valid car insurance. Excellent driving record. Efficient understanding or knowledge of Mental Illness. Maintain records. -Satisfactorily complete CPR/FIRST AID/AED training.

Professionalism.  The Peer Outreach Worker will represent the agency in a professional manner with clients, customers, community members, and the general public. Be punctual and respectful.


Physical Requirements:


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions of this position.


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions of this position.


While performing the duties of this position, the employee is required to regularly use hands to finger, handle or feel objects, tools, controls and equipment. The employee is required to both see and hear.  The employee must be able to walk, sit and stand. The employee occasionally lifts up to 20 lbs., and occasionally kneels and bends. 




The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

West County Community Services is an equal opportunity employer. Our agency values Diversity and consider all applicants for all positions without regard to color, ethnic background, religion, sex, gender, gender identity, sexual orientation, national origin, age, disability, HIV/AIDS status, veteran status, or any other legally protected.



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