LOCATION: Irvington, New Jersey- Hybrid (Office/Remote) Work Environment
CLASSIFICATION: Full-Time/Non-Exempt- 37.5 hours/week
ANNUAL SALARY: $45,500/year
JOB SUMMARY: Responsible for connecting clients with services including but not limited to healthcare, insurance, social services, and other community resources in Essex, Hudson and Union counties. 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 the time of 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 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 consistently 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.
- Attend and complete the 144-hour CLG-CHW Institute and ECHO training as per the NJDOH requirements.
- Handle other duties as assigned.
Associate degree preferred. Experience providing outreach to women and a high degree of familiarity with Essex County resources. Familiarity with Essex, Hudson and Union social services is preferred. 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. Bilingual English-Haitian Creole preferred.