Social Care Network Community Health Worker

Mission Statement: “To empower and inspire people of all communities to identify, pursue and sustain healthy, meaningful lives”.

MHAW strives to develop an authentic, diverse workforce that embraces, creates, respects and demonstrates diversity, equity, and inclusiveness in the work environment, towards one another and those we serve. We recognize that our agency is strongest when we all embrace the full spectrum of diversity and experience. We actively seek to employ a diverse workforce representative of the communities we serve.

Position: Social Care Network Community Health Worker

Compensation: $24.50 per hour- Non-Exempt

Hours: 22 hours per week

Locations: Travel throughout Suffolk County

This position will be responsible for supporting expanded resource and service navigation. Reporting to the Social Care Network Navigator and Trainer, the Community Health Worker position is a non-clinical role that will conduct health-related social needs screening, referral to appropriate services, and follow up with clients. Community Health Worker may directly help Medicaid members improve their health outcomes through resource linkages and follow- up. The Community Health Worker will document in Unite Us and any of the documentation system as required. This position requires travel throughout Suffolk County, personal auto and a clean NYS Driver’s License are required; mileage reimbursement provided.

Duties/Responsibilities:

• Participating in all required SCN trainings and meetings
• Follow established work-flows
• Learn and maintain a high proficiency in the Unite-Us platform
• Coordinate and outreach to Medicaid clients
• Conduct screening and interviews with Medicaid members
• Identification and verification of eligibility by utilization of appropriate screenings for clients
• Verification of demographic information in the documentation platform and other program documentation systems
• Confirmation of a client’s desire to receive social care services
• Consent documentation
• Outreach client by virtual, telephonic means or in-person in care setting to perform screenings, establish resource needs, connect to those resources, and follow up to determine if need is met
• Utilize Unite Us to complete referrals and assist navigating to the appropriate health and social care services – either existing federal, state, or local social care infrastructures or social care services covered by the waiver
• Develop care plan for clients based eligibility of services and identification of needs
• Adhere to standards for completion of appropriate screenings with initial assessment screening and follow up screenings or surveys within set timeframes
• Monitor status and progress of referrals of clients to ensure service is provided
• Receive and process referrals from various sources related to health-related social needs (on platform and off-platform referrals)
• Efficiently and effectively review all referral resources such as calls/emails/lists identified for assistance in a set timeframe
• Identify barriers to referred services, intervene as necessary on behalf of the members
• Provide support on challenging referrals
• Provide information of access and coordination of resources
• Provide culturally appropriate social care education and information
• Meet monthly productivity and role expectations
• Performs all other duties as assigned

• High school diploma or GED required
• 2-3 years of relevant work experience
• Experience in the community health care setting. Experience as a health coach and/or community health care worker and/or patient navigator.
• Those with Bi-lingual skills and personal experience are strongly encouraged to apply; we strive to achieve a diverse workforce, representative of the communities we serve.
• Excellent inter-personal communication including the ability to establish empathic, empowering relationships with people who have experienced psychiatric, substance abuse challenges, trauma as well as chronic physical health conditions;
• Strong communication skills and collaboration skills;
• Understanding of the key elements of recovery and wellness
• Knowledge of state and federal benefits system
• Sound organizational skills including computer skills
• Basic knowledge of the public health/mental health system, public entitlement and social service programs;
• Valid Driver’s License and reliable transportation
• Knowledge of state and federal benefits system
• Demonstrated ability to communicate effectively verbally and in writing with people of different cultural and socioeconomic backgrounds
• Ability to complete required trainings and additional certifications or trainings as assigned
• Organizational and time management skills
• Ability to prioritize and demonstrate flexibility in day-to-day functions
• Candidate must be a reliable self-starter with the ability to work both independently and as part of an interdisciplinary team.