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Pregnancy & Parenting
Immunization Support
Family & Community

Bilingual Community Health Worker

LOCATION: Irvington, New Jersey


WORK HOURS: 37.5/week


JOB SUMMARY:   Responsible for connecting clients with services including but not limited to healthcare, insurance, social services, and other community resources in Regions 1 and 2 Counties: Hudson and Passaic.  Assist clients by coordinating appointments, making referrals, follow-up, and support services as needed.  Provide education to individuals and groups. Provide case management as required up to two (2) years from enrollment or until the participant voluntarily terminates from the program or is lost to follow-up. Case management will include, but not be limited to, providing ongoing follow-up and assessment of need.


  • Work closely with the Connecting NJ Coordinator and within the BHIM municipalities if applicable.
  • Case Manage women 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 not yet engaged in mainstream service systems.
  • Maintain a minimum caseload of 25 participants monthly.
  • Conduct outreach, networking, and education.
  • Incorporate 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 2 years or until participants’ voluntary termination.
  • Refer and provide 1:1 assistance to help clients obtain and consistently utilize health insurance, primary care and/or prenatal care, 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 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.
  • Establish relationships with other community health and human service providers 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, Childcare Resource and Referral agencies, breastfeeding groups, etc.
  • Document case management and create referrals via the closed-loop referral platform, Unite Us, to ensure continuity of services.
  • 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.
  • Attend and complete the 144-hour CLG-CHW Institute and ECHO training as per the NJDOH requirement                                


  • Minimum Associate’s degree preferred
  • Bilingual (Spanish) required.
  • Experience providing outreach to women and familiarity with Region 1 and 2 County health and social services.
  • Support may be needed in additional counties within the program.
  • Nonjudgmental attitude; resourceful and flexible in working with clients.
  • Computer literacy in MS Office Suite.
  • Good verbal and written communication skills.

All PMCH employees must comply with the guidelines of PMCH’s Immunization Policy.


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