Via telephone contact primarily from office, provide high quality health navigation, patient education and health coaching for qualified patients who are part of the grant-funded project by assisting them with access to medical services, health insurance, substance use disorder treatment and other resources and services to improve health outcomes, support health goal selection and provide education about pain management. The Community Health Worker also strengthens individual and community agency by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, referrals to community resources, social support, and advocacy.