Community Health Worker

Sabathani Community Center•Minneapolis, MN

1d•$28 - $31•Hybrid

About The Position

Sabathani Community Center's Health Equity Department is dedicated to reducing health disparities and improving access to care for community members through direct service, care coordination, and community education. The department's programming emphasizes culturally responsive, trauma-informed care, meeting residents where they are. The Maternal Health Matters (MHM) program specifically supports Black/African American families throughout pregnancy and the postpartum period. It offers individualized case management and connections to care through a Community Health Navigator, alongside a weekly Sister Support Circle, prenatal yoga, social programming, and peer support in a culturally affirming environment. MHM aims to address the social and emotional factors impacting maternal and infant health outcomes. Sabathani Community Center is seeking a Community Health Worker to provide direct case management, care coordination, and social determinants of health (SDOH) support to Black/African American pregnant and postpartum community members within an integrated care program. This role involves managing a caseload of approximately 15 participants, offering individualized support from enrollment through 12 months postpartum. The Community Health Worker will build trusted relationships, connect participants to clinical, behavioral health, and social service resources, and collaborate with doulas, mental health providers, and program leadership to ensure comprehensive support for participants and their families. This position involves duties consistent with an office and community setting, including home visits. This job description outlines anticipated day-to-day responsibilities and does not create an employment contract, but rather an "at will" employment relationship. The Director of Health Equity reserves the right to modify duties.

Requirements

High school diploma or equivalent required.
Community Health Worker (CHW) certification required.
Minimum 2-years of experience in community health, case management, doula work, or a related direct service role.
Experience with client documentation and case management systems.
Ability to build trust and maintain strong, culturally responsive relationships with participants and families.
Working knowledge of maternal and infant health, social determinants of health, and community resources in the Twin Cities metro area.
Strong organizational skills with the ability to manage a caseload, meet documentation deadlines, and coordinate across multiple partners.
Ability to communicate clearly and effectively via oral and written means.
Ability to maintain appropriate boundaries and exercise sound, independent judgment, including in emotionally sensitive situations.
Working knowledge of Outlook, Word, and Excel.
Valid MN Driver's License and access to reliable transportation required for home visits and community-based work.
Must pass a criminal background check.

Nice To Haves

Associate's or Bachelor's degree in a related field.
Experience working with pregnant and postpartum Black/African American community members strongly preferred.
Salesforce experience a plus.
Lived experience and cultural connection to the community served is highly valued.
Experience with Salesforce or similar case management systems a plus.

Responsibilities

Administer PRAPARE (social determinants of health), 4Ps (substance use), and EPDS (depression) screenings for all newly enrolled participants.
Develop an individualized care plan with each participant within 30 days of enrollment.
Maintain a caseload of approximately 15 participants, providing consistent, relationship-based support.
Document all screening results and encounters in Salesforce within 48 hours.
Conduct weekly participant check-ins by phone, home visit, or in person throughout pregnancy and the postpartum period.
Provide at least one home visit per month for participants identified as high-risk.
Rescreen participants using EPDS at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months postpartum.
Maintain contact with participants through 12 months postpartum, facilitating referrals for interconnection care, family planning, primary care, and chronic disease management.
Maintain an up-to-date resource directory of culturally responsive health, behavioral health, substance use, housing, food, and social service providers.
Facilitate warm referrals and follow up with participants and providers within 72 hours of referral.
Track referral completion and coordinate with child welfare per written protocol when substance use and welfare involvement intersect.
Coordinate with doulas, the contracted mental health provider, and other program partners to ensure participants receive integrated, wraparound support.
Assess transportation, housing, and basic needs at intake and on an ongoing basis.
Distribute transportation assistance (rideshare/gas cards) and connect participants to utility and rent assistance as needed.
Distribute basic needs provisions (breast pumps, diapers, formula, infant carriers) at birth and coordinate postpartum Meal Train support.
Document all client assistance and provisions provided in Salesforce.
Deliver 1:1 participant education on nutrition, breastfeeding, infant safe sleep, reproductive life planning, and postpartum wellness.
Support and participate in the annual Baby Shower and Health Fair and other community events.
Document all education encounters by date, topic, and participant in Salesforce.
Enter all program data in Salesforce within 48 hours of each participant encounter.
Participate in monthly reflective supervision and monthly data reviews with program leadership.
Support grant reporting by ensuring documentation is accurate, complete, and submitted on time.