Coordinator​/Community Health Outreach Worker

Overview

Description 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.

Description 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.

The CAN Coordinator serves as the central point of integration between families and community providers, ensuring referrals are timely, barriers to care are addressed, and services are delivered in a coordinated, accountable, and family-centered manner.

• II. Direct Services - Community Health Worker - 30%
  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.
  • 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
    • Family dynamics
    • Child abuse and neglect to strengthen families and reduce risk.
  • Coach families in problem-solving, coping skills, and healthy discipline strategies.
  • Make appropriate referrals to community partners and ensure follow-up.
  • Serve as a client advocate, ensuring families successfully access services.
  • Accurately document all visits, referrals, assessments, and follow-ups in required databases and client records.
  • Maintain organized client files and resource materials.
  • Conduct community education and outreach activities as assigned.

• III. Compliance, Safety & Documentation
  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.

• Minimum
  
  Education and Experience:
  
  
  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.
• Licenses And/or
  
  Certifications:
  
  
  A valid Virginia driver’s permit and reliable transportation with appropriate insurance coverage.
• Knowledge:
  Knowledge of maternal-child health, infant mental health, and child abuse and neglect.
• Skills:
  Experience working with vulnerable and high-risk families.
• Abilities:
  Ability to build relationships across diverse cultures and systems; strong interviewing, documentation, and communication skills; basic computer and data-entry proficiency; ability to pass criminal, CPS, and DMV background…