Community Health Worker-Healthy Women Healthy Families

LOCATION: Secaucus, New Jersey – Hybrid (Office/Remote) Work Environment

CLASSIFICATION: Full-Time/Non-Exempt – 37.5 hours/week



Responsible for connecting clients with services, including but not limited to healthcare, insurance, social services, and other community resources to improve health. Provide case management up to 3 years from the time of enrollment or until the participant voluntarily terminates from the program or is lost to follow-up.


  • Provide case management to women who are not enrolled in an Evidenced-Based Home Visiting.
  • Work closely with Central Intake Coordinator and Black Infant Mortality municipalities if applicable.
  • Target child-bearing women age 15-44 pre-conception, inter-conception and postpartum. Connect with high-risk individuals, particularly those who are not yet engaged in mainstream service systems.
  • Maintain a minimum monthly caseload of 20 participants.
  • Conduct outreach, networking and provide education.
  • Enroll clients into other EBHV Offer and provide patient contact including client-centered provision of health information, modelling, demonstrating skills, and reinforcing positive health choices and behaviors.
  • Coordinate perinatal health care and other early childhood services and support.
  • Conduct monthly in-person visits with high-risk women followed by weekly telephone/text contact to identify needs and refer to appropriate resources.
  • Refer and provide 1:1 assistance to help clients obtain and utilize health insurance, primary care, prenatal care services, and family planning services such as WIC, substance abuse, domestic violence, mental health, etc.
  • Utilize strength-based approach to case management by assisting participants with setting client-centered goals to develop community support and address employment, education, housing and transportation issues.
  • Collaborate with community partners to reduce social determinants of health issues that clients may encounter.
  • Provide and disseminate information to participants about family planning health services in the community to prevent unintended pregnancies and promote spacing of subsequent pregnancies.
  • Provide individualized social support to encourage and reinforce health promoting behaviors by clients, including personal and family health behaviors.
  • Follow up with community linkages to insure continuity of services and to close the loop to referrals.
  • Assist in promoting Affordable Care Act health insurance and Medicaid enrollment.
  • Participate in community engagement activities for outreach, community empowerment and non-traditional partnerships to link families to housing, employment, transportation, food, etc.
  • Review participant nutritional needs and refer to WIC or SNAP-Ed.; collaborate with SNAP-Ed for nutrition education and physical activity classes.
  • Use personal vehicle for all travel with valid driver’s license, registration, insurance, etc.
  • Handle other duties as requested.


  • High School graduate; Associates degree preferred.
  • Minimum 2 years’ experience providing outreach to women.
  • High degree of familiarity with Hudson/Union County health and social services required.
  • Resourceful and flexible in working with clients with a culturally competent approach.
  • Computer literacy in MS Office Suite; Good verbal and written communication skills.

This position reports to the Program Manager of Healthy Women Healthy Families of Hudson/Union.

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