LOCATION: Irvington, New Jersey/Hybrid
CLASSIFICATION: Interim/Full-time/37.5 hours/week
ANNUAL SALARY: $40,000 – $45,500
JOB SUMMARY:
This is a temporary position.
Serve as a vital link between clients and essential services across Region I (Bergen and Passaic Counties), helping individuals access healthcare, insurance, social services, and other community resources. Take an active role in coordinating appointments, facilitating referrals, and delivering personalized support to meet diverse client needs.
Educate both individuals and groups on available programs and resources, empowering them to make informed decisions. Provide comprehensive case management through ongoing follow-up, needs assessments, and tailored service planning. Flexibility to support additional counties within the program ensures broader community impact and responsiveness.
ESSENTIAL DUTIESS:
- Work closely with Connecting NJ Coordinator and within BHIM municipalities if applicable.
- Case Manage women who are not enrolled in an evidenced-based Home Visiting program.
- Target childbearing women aged 15-44 pre-conception, inter-conception, and postpartum and connect with high-risk individuals, particularly those who are not yet engaged in mainstream service systems.
- Maintain a minimum caseload of 20 participants monthly.
- Conduct outreach, networking, and education.
- Incorporate the use of screening tools (CHS and Initial Referral forms) to identify client risks or needs and collect data.
- Enroll clients into other EBHV programs, offer and provide patient contact, including the client-centered provision of health information, modeling and demonstrating skills, and reinforcing positive health choices and behaviors. Coordinate perinatal health care and other early childhood services and supports.
- Have in-person contact with high-risk women monthly followed by weekly telephone or texting contact to identify needs and refer to appropriate resources for up to 3 years or until participants’ voluntary termination.
- Refer and provide 1:1 assistance to help clients obtain and utilize health insurance, primary care and/or prenatal care services, family planning services, and other needed community services such as WIC, substance abuse, domestic violence, mental health, etc.
- Utilize a strength-based approach to case management by assisting participants with setting client-centered goals to help develop non-traditional community support to address issues surrounding employment, education, housing, and transportation.
- Collaborate with community partners to reduce Social Determinants of Health Issues clients encounter and refer to appropriate services.
- Provide and disseminate written and oral information about available family planning health services in the community to prevent unintended pregnancies and promote the 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 women and families to resources within the community such as Family Success Centers, Child Care Resource and Referral agencies, breastfeeding groups, etc.
- Follow up with community linkages via database system to ensure continuity of services and to close the loop to referrals.
- Assist in promoting Affordable Care Act health insurance and Medicaid enrollment for families.
- Participate in community engagement activities for outreach, community empowerment, and non-traditional partnerships to link families to housing, employment, transportation, food, etc.
- Discuss food insecurity and nutritional needs; refer to WIC or SNAP-Ed. and collaborate with SNAP-Ed for nutrition education and physical activity classes.
JOB REQUIREMENTS:
- Associate’s degree preferred
- Bilingual English/ Haitian-Creole required
- Resourceful and flexible in working with clients
- Experience providing outreach to women and familiarity with Bergen and Passaic Counties’ health and social services. Support may be needed in additional counties within the program.
- Excellent verbal, written, and interpersonal communication skills.
- Proficient with Microsoft Office Suite.
All PMCH employees must comply with PMCH’s Immunization Policy.