HWHF Program of Passaic County – Community Health Worker

LOCATION: Irvington, New Jersey- Hybrid (Office/Remote) Work Environment

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

ANNUAL SALARY: $38,000 – $41,000/year

JOB SUMMARY: 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 as required up to 3 years from the time of enrollment or until the participant voluntarily terminates from the program or is lost to follow-up.


  • Work closely with Connecting NJ (CNJ) Resource Specialist and within the Black Infant Mortality (BIM) municipalities if applicable.
  • Provide case management to women who are not enrolled in an Evidenced-Based Home Visiting (EBHV) program.
  • Target women of childbearing 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.
  • Incorporate use of screening tools to identify client risks/needs and collect data.
  • Enroll clients into other EBHV programs. Offer and provide patient contact including client-centered provision of health information, modeling, 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 non-traditional 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.
  • Establish relationships with other health and human service providers in the community to identify and refer individuals who may benefit from CHW support services.
  • Link participants to resources within the community such as: Family Success Centers, Child Care Resource and Referral agencies, Breastfeeding Groups, etc.
  • 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, and must have a valid driver’s license, registration, insurance, etc.
  • Handle other duties as requested.

PHYSICAL DEMANDS: Work is performed in a variety of office, health care and community settings; may involve bending, color identification, gripping with hands and fingers, hearing voice conversation, keyboarding, kneeling, lifting up to 35 pounds, pulling, pushing, reaching, sitting, standing, stooping and walking.  Successful performance requires specific vision abilities that include close vision.  The employee will attend meetings at a variety of places and will need to drive.  Occasional stair climbing is required.

WORK REQUIREMENTS: There are no unusual work conditions. The noise level at work is moderate. The employee will experience outside weather conditions while in transit to and from meetings or during special events. Able to work evenings and weekends as required.


Associate’s degree preferred. Experience providing outreach to women and a high degree of familiarity with Passaic County health and social services are required. Nonjudgmental attitude; resourceful and flexible in working with clients. Computer literacy in MS Office Suite. Good verbal and written communication skills. Bilingual (English/Spanish) required.

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