HealthySteps Care Coordinator (LSW)

Saint James Health

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profile Job Location:

Newark, DE - USA

profile Monthly Salary: USD 70000 - 76000
Posted on: 20 hours ago
Vacancies: 1 Vacancy

Job Summary

HealthySteps Care Coordinator (LSW)

Position Summary

Saint James Health is seeking a Licensed Social Worker (LSW) to serve as the HealthySteps Care Coordinator supporting families with children from birth to age three. The HealthySteps Coordinator works as part of the pediatric care team to promote early childhood development positive parenting practices and family well-being through developmental screening care coordination brief interventions and connection to community resources.

This role is embedded within the pediatric clinic and aligns with Saint James Healths mission as a Federally Qualified Health Center (FQHC) to address medical behavioral and social determinants of health.

Essential Duties & Responsibilities

Care Coordination & Family Support

  • Serve as the primary HealthySteps Care Coordinator for families with children ages 03

  • Conduct brief evidence-based screenings related to:

    • Child development and milestones

    • Social-emotional development

    • Family needs and social determinants of health

  • Provide short-term strengths-based interventions and anticipatory guidance to caregivers

  • Support families with parenting strategies behavior concerns and early childhood development education

Clinical & Pediatric Team Integration

  • Work collaboratively with pediatric providers nurses medical assistants and behavioral health staff

  • Participate in pediatric team huddles and case discussions

  • Assist providers with identifying families who would benefit from HealthySteps services

  • Provide warm handoffs during pediatric visits as appropriate

Referrals & Community Resources

  • Connect families to internal Saint James Health services including:

    • Behavioral health

    • Case management

    • Community health workers

    • Nutrition and Food Farmacy services

  • Refer families to external community-based organizations (Early Intervention childcare housing food assistance parenting programs etc.)

  • Track referral outcomes and follow up with families to support engagement

Documentation & Compliance

  • Document all encounters screenings and interventions in Epic EMR

  • Ensure documentation meets HRSA Medicaid and HealthySteps program requirements

  • Maintain accurate tracking data and reports related to HealthySteps metrics

  • Comply with HIPAA patient confidentiality and Saint James Health policies

Program Support & Quality Improvement

  • Support implementation and sustainability of the HealthySteps model at Saint James Health

  • Participate in data collection reporting and quality improvement activities

  • Assist with grant reporting and audits as needed

  • Represent HealthySteps at internal meetings and community events when appropriate

Qualifications

Required

  • Bachelors or Masters degree in Social Work

  • Active New Jersey LSW license in good standing

  • Experience working with children families or early childhood programs

  • Strong knowledge of social determinants of health and community resources

  • Ability to work effectively in a fast-paced multidisciplinary healthcare environment

  • Proficiency with EMRs (Epic preferred)

  • Excellent communication organizational and documentation skills

Preferred

  • Experience in an FQHC pediatric or community health setting

  • Familiarity with the HealthySteps model

  • Bilingual (English/Spanish or English/Portuguese) strongly preferred

  • Experience with developmental screenings and early childhood interventions


Required Experience:

IC

HealthySteps Care Coordinator (LSW)Position SummarySaint James Health is seeking a Licensed Social Worker (LSW) to serve as the HealthySteps Care Coordinator supporting families with children from birth to age three. The HealthySteps Coordinator works as part of the pediatric care team to promote ea...
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Key Skills

  • Senior Care
  • Hoyer Lift
  • Medical office experience
  • Dementia Care
  • Home Care
  • Nursing
  • Alzheimers Care
  • Administrative Experience
  • Meal Preparation
  • Medication Administration
  • Memory Care
  • Tube Feeding

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