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Pediatric Community Health Worker

Mass General Brigham Community Physicians
mileage reimbursement, remote work
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jul 18, 2025
The Opportunity
In collaboration with the RN/SW Care Manager, the Community Health -Behavioral Health Coordinator Worker will assist families with gaps in care by assisting patients and families to access state and community services such as Mass Health, DDS, and SSI, as well as helping with navigation of these state systems.
The Community Health -Behavioral Health Coordinator Worker may attend meetings with MH/BH community, pediatric specialists, and intensive care coordination services with the state, school, and community agencies. The Community Health -Behavioral Health Coordinator Worker will assist families to identify gaps in resources while providing necessary support to the patients and families with mental and behavioral health diagnoses.
In collaboration with iCMP RN/SW, the Community Health -Behavioral Health worker will:
*Involve participant in self and community advocacy
*Map communities to help locate support services (i.e.: Housing, food, shelter, community services, etc.). Use existing institutional and community resources and maps to achieve this and educate other team members on resources found.
*Connect families with needed resources, including tracking referrals when appropriate.
*Assist patients and families in applying for State resources and services (i.e. Mass Health, DTA, DDS, and DMH). This may include helping them gather necessary documentation, filling out forms, and helping them anticipate and prepare for re-applications when needed. Follow up with families on status of applications.
*Locate and coordinate services for children with Autism (i.e. ABA therapy, social skills groups, camps, in-home supports).
*Locate mental health providers within a patient's insurance network and collaborate with PCP and iCMP Team on ensuring referrals to appropriate providers.
*Attend meetings regarding educational and mental health services for patient. Support families in advocating for services. Attend 504/IEP meetings with families. Coordinate with iCMP Care Team and PCP meeting details and next steps. Follow up with families on status of applications.

What You'll Bring

  • High school diploma or equivalent required.
  • Associates/Bachelors degree in related field preferred.
  • 1-2 years prior experience workingwith children and families dealing with complex medical and psychiatric/behavioral problems.
  • Bilingual English / Spanish highly preferred with fluency to speak, read and write
  • Exceptional communication skills and ability to multi-task
  • Ability to properly oversee up to 30 cases


Working Model and Location Details

  • M-F Eastern Business Hours
  • Must commute weekly to Pedi Sites: Revere, Charlestown, Downton Boston
  • Onsite 4-5x weekly
  • Site schedule / day of week will be discussed based on site needs
  • 2x monthly team meetings at AR Somerville office required, Wednesdays planned ahead
  • Must be flexible to support onsite needs as they could vary, based on case load, may required scheduled visits at patient home or school for meetings
  • About 1x weekly work from home, remote work requires stable, secure, quiet, compliant work station
  • Travel mileage reimbursement, monthly expense


Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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