- Offers pregnancy care coordination services to pregnant high risk women by certified community health workers. - Works to improve birth outcomes, eliminate disparities in infant mortality, reduce low birth weight and preterm births while addressing the social determinants that affect maternal and child health in this population. - Connects clients with needed resources to reduce social deterrents such as transportation and employment, prenatal care for mothers, and safe sleep environments for babies. Services include: - Provide information on pregnancy and newborn care. - Offer problem-solving assistance to expectant mothers to resolve issues that may arise during the pregnancy. - Encourages clients to set and reach health and personal goals. - Acts as a liaison between the client and other community agencies to connect with resources and services such as medical care, housing, food, transportation, Medicaid, WIC, and other benefits.