Coordinator/Community Health Outreach Worker
Under the general supervision of the Department of Healthy Families leadership, the Community Action Network (CAN) Coordinator & Community Health Worker coordinates a community-wide system of care for pregnant women, infants, fathers, and families while maintaining a small caseload of high-need households.
This hybrid leadership and direct-service position is designed to strengthen access, coordination, and outcomes across multiple family-serving systems. Seventy percent (70%) of the role is dedicated to Community Action Network leadership, including partnership development, referral coordination, marketing, and system-level problem solving. Thirty percent (30%) of the role is dedicated to direct service delivery, ensuring families receive consistent support, care planning, and follow-up.
I.Community Action Network (CAN) Leadership – 70%
The CAN Coordinator serves as the system organizer, referral integrator, and partnership liaison for the Department of Healthy programs.
The CAN Coordinator Shall:
- Establish, maintain, and formalize partnerships with:
- Public health and healthcare providers
- Behavioral health and substance-use agencies
- Housing, homelessness prevention, and legal services
- Fatherhood, workforce, and employment programs
- Community-based organizations and social-service agencies
- Maintain referral directories, Memoranda of Understanding (MOUs), and warm-handoff protocols.
- Receive, log, track, and coordinate all incoming cross-agency referrals.
- Serve as a systems navigator and client advocate for families requiring multiple services.
- Monitor referral timelines, service gaps, and barriers to care.
- Convene and facilitate monthly Community Action Network (CAN) meetings.
- Prepare meeting agendas, record minutes, and track partner accountability.
- Identify system-level challenges affecting families and elevate issues for coordinated resolution.
- Represent the Department of Healthy Families at community meetings, outreach events, and partner convenings.
The CAN Coordinator serves as a Community Health Worker for a reduced caseload of high‑need families and provides standardized outreach, screening, case management, and family-centered support.
Caseload: approximately 8‑12 families, prorated from program standards.
The CAN Coordinator Shall:
- Conduct systematic screenings and assessments with families during pregnancy and following birth to identify risks, needs, and protective factors.
- Meet with supervisors to review family status, service needs, and intervention plans.
- Conduct home, virtual, and community-based visits.
- Develop and implement Individual Family Service Plans (IFSPs) and care plans with measurable goals.
- Provide case management, follow‑up, and care coordination for assigned families.
- Deliver evidence‑based parenting and maternal‑wellness curricula during visits.
- Apply working knowledge of:
- Parent-child interaction
- Child development
- Infant mental health reduce risk.
The CAN Coordinator Shall:
- Maintain accurate and timely documentation of all client services, referrals, and network activity.
- Submit required reports and paperwork within program timelines.
- Follow safety, supervision, and visit‑tracking protocols.
- Participate in supervision, case conferences, staff meetings, and required training.
- Comply with mandatory reporting laws for child abuse, neglect, and domestic violence.
- Protect the confidentiality and integrity of all client records.
- Bachelor’s degree in Social Work, Public Health, or a related field (or equivalent experience)
- At least two years of experience in community-based family services or case management
- A…
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