Pediatric Community Health Worker

Community Health Center of Franklin County Inc•Greenfield, MA

24d•$20 - $27•Hybrid

About The Position

The Pediatric Community Health Worker (PCHW) is an integral member of the integrated pediatric care team who builds trusting, culturally responsive relationships with children, caregivers, and community partners to address developmental, medical, behavioral, and social needs, with a focus on reducing health disparities and improving equitable access to care. The PCHW engages families, provides education, care coordination, and linkage to resources; supports goal-setting and navigation across health, behavioral health, educational, and community systems; and participates in team meetings, supervision, and ongoing training.

Requirements

High school diploma or equivalent
At least 2 years of experience in a community-based medical or behavioral health setting
Demonstrated ability to build and sustain trusting relationships using motivational interviewing and problem-solving approaches.
Ability to deliver clear, culturally responsive health and behavioral health education and facilitate mutual understanding across families, care teams, and community systems.
Knowledge of medical, behavioral health, educational, and community resource systems
Strong coordination and communication skills
Comfort with EHR and tele-enabled workflows.

Nice To Haves

Associate or Bachelor’s degree in a human services field
State Community Health Worker (CHW) certification (if applicable)
Experience working with diverse pediatric populations and families within the local community
Lived experience as a parent, guardian, or caregiver
Bilingual and/or bicultural candidates
Peer experience.

Responsibilities

Build trusting, culturally responsive relationships with patients and caregivers using strategies such as motivational interviewing and problem-solving.
Assess family needs, strengths, risks, and barriers to accessing care; assist caregivers in setting goals and developing actionable plans.
Provide coaching, mentoring, and informal counseling to support family well-being, resilience, and readiness for change.
Educate caregivers on typical child development; behavioral and mental health conditions, symptoms, diagnoses, management strategies, and available services.
Provide psychoeducation to help families identify escalating symptoms and understand when emergency or urgent care may be needed.
Serve as a cultural mediator among families, health care teams, schools, and community services; strengthen families’ self-advocacy and informed decision-making.
Support families in navigating medical, behavioral health, educational, and community service systems; coordinate referrals, transitions, and follow-up appointments.
Collaborate with PCPs, BHCs, caregivers, and community partners to ensure integrated, continuous care.
Monitor progress using evidence-informed practices and help remove obstacles to care; maintain up-to-date knowledge of local resources.
Manage a pediatric population panel (up to 3,000 patients), with a subset receiving active, ongoing support at any given time based on clinical and social needs.
Provide 24–30 hours per week of direct patient, family, and collateral engagement; allocate remaining time to documentation, supervision, interdisciplinary consultation, training, meetings, and administrative responsibilities.
Participate in integrated care models alongside primary care and pediatric teams.
Deliver services via secure telehealth platforms as applicable and in alignment with organizational policies and licensure requirements.
Complete timely, accurate documentation in the electronic health record (EHR).
Adhere to organizational, legal, ethical, and regulatory standards, including privacy and confidentiality.