Job Description

Community Public Health (CHW)

Family Centers Healthcare seeks an energetic and compassionate individual with care coordination, case management, and/or patient navigation experience to join the team at Family Centers, a non-profit organization offering integrated health care, education and human services to children, adults, and families living in Lower Fairfield County. The health centers provide medical, dental and mental health services to those living in public housing communities and the surrounding neighborhoods

The Role:

As a member of the health care team, the Community Health Worker performs care coordination, patient navigation, and case management activities. The Community Health Worker (CHW) also assists with administrative tasks to support the health centers and school-based sites in the region. Collaborates with the City of Stamford to provide case management to address social and residential challenges families face in the community.

Duties and Responsibilities:

Work with staff, internal/external medical providers, and patients to reach healthcare goals and provide excellent quality of care through care coordination.
Perform patient navigation and Facilitate patient/client access to appropriate health care providers (medical, dental, mental health, and specialty) and social services resources internally within the agency and externally around the region.
Work with medical team to complete prior authorization.
Educate patient/client and family/caregiver(s) about relevant community resources
Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed
Develop a care plan with the patient, family/caregiver(s) and providers (health management plan, medical summary, and ongoing action plan, as appropriate)
Attend all care coordinator training courses/webinars and meetings
Provide care coordination services for patients with diabetes, facilitating educational session, monitoring their progress, and ensuring patients develop self-management plan
Participate, attend training, and obtain certificate to teach the Living Well with Diabetes Program to patients on a quarterly basis.
Monitor the patient ping service and follow up with patients admitted to the emergency room within 24 business hours.
Request and verify all demographic information as well as insurance.
Collaborate with internal and external social services agencies to meet patients’ needs Assist in collecting data for Quality Care Team and ensure proper documentation
Connect with community organizations who serve Family Centers Health Care’s target population and collaborate on programs and/or offer programs that promote the services of Family Centers Health Care.
Demonstrates professional, courteous, and respectful attitude during interactions with patients and guests of the health center.
Assist in distributing surveys and assessments to all new and re-established patient.
Complete reports and analyze data for enrolled and registered patients from Medical, Dental, Mental Health, and Stamford Care.
Referral management and provide weekly updates to the medical team.
Complete other duties as necessary and assigned.
Work Experience:

At least two years of related experience in the field of health-related training, case management, and/or working with high risk populations and familiarity with public health.
Certified Community Outreach Worker or willingness to pursue.
Demonstrate cultural competency to work with different cultures, ethnicities, races, etc.
Required Qualifications:

High School or equivalent required (Bachelors Preferred)
Bilingual Spanish/English required
Medical terminology
Demonstrated computer skills
Demonstrated ability to handle multiple priorities and to deal calmly with individuals under stress
Patient Navigation and Research experience
Interpersonal and networking skills
About Family Centers:

Family Centers is a private, nonprofit organization offering health, education and human service program to children, adults and families in Fairfield County. More than 250 professionals and 1,200 trained volunteers collaborate to provide our communities with a wide range of responsive and innovative services. Through our comprehensive network of services, more than 22,000 children, adults, families and communities receive the care, encouragement and resources needed to realize their potential.


Salary commensurate with experience. A suite of benefits including generous paid time off, medical, dental, vision, tax-free spending accounts, disability, life and AD&D insurance. Additional benefits include an employee assistance plan, pet insurance, critical accident and illness, wellness services, tuition reimbursement, and retirement savings. The opportunity to work for an employer consistently rated one of the Top Workplaces in Western Connecticut by Hearst Connecticut Media and a perfect 100 Encompass rating by Charity Navigator 10.

Special Note:

As the COVID-19 pandemic continues to impact our community and beyond, it is Family Centers’ commitment to the safety of employees, contractors, volunteers, patients, clients, and student interns, by requiring proof of vaccinations for COVID-19 (or have an approved medical or religious exemption on file).

For more information and to apply, please visit or on our LinkedIn page

Family Centers is an Equal Opportunity Employer and offers a competitive salary, training, and generous benefits package.

How to Apply

Apply to this position via the link below

Apply to this position via the link below

Link: Job & Application Details

Family Centers Greenwich