Care Navigator

Job Overview
We are seeking a dedicated and compassionate Care Navigator to join our team. The Social Care Navigator (SCN) aidsmembers with accessing community services that may address their health-related social needs (HRSN) such as food insecurity, housing instability, and lack of transportation. Social Care Navigator’s goal is to improve health outcomes, advance health equity, reduce health disparities and improve financial sustainability. Social Care Navigators are essential to coordinating the process through which Medicaid Members are screened, connected with service providers in their community, and there is follow-up to ensure services were delivered and the Member’s needs have been addressed.

Duties

• Outreach members using different modalities (phone, in-person, etc.). SCN Initial encounters with members will include a program introduction, consent to engage and how to submit complaints.
• Confirm Member eligibility using Medicaid Eligibility Verification System (MEVS)
• Confirm members’ demographics
• Check screening eligibility and duplication of screening – screening will be done annually or if member has a major life event
• Enable consistent, timely screening using the Accountable Health Communities (AHC) HRSN Screening Tool and Navigation to HRSN services.
• Screen all children and youth enrolled in Medicaid
• Screen all eligible members of the same household at the same time
• Verify enrollment (if screening is done separately)
• Verify screening results and confirm the Member wants to receive services for unmet HRSN
• Confirm whether the Member is included in an eligible population (most data will appear from member file and available in platform; will outline criteria and attestation process if not)
• Ask Member follow-up questions as part of comprehensive Eligibility Assessment
• Confirm Member’s eligibility for HRSN services, including ensuring there is no duplication
• Confirm consent to send referrals for services
• Send referrals, schedule follow ups, and complete billing
• Create a Social Care Plan

Experience

• Master’s degree in social work or related field plus one year of experience or bachelor’s degree in social work or related field plus two years of experience.
• Must have a valid NYS Driver’s License.
• Excellent organizational and time management skills, people skills, verbal, and written communication and facilitation skills.
• Must be proficient in computer applications or other automated systems such as spreadsheets, Microsoft Office applications, calendar, and email.
• Professional experience in health service programs, social service programs, or Medicaid programs (i.e., TANF, WIC, SNAP, CPS, LTSS, etc.).
• Ability to work independently and manage multiple projects.
• High level of confidentiality required.

Join us in making a difference in the lives of our patients by providing exceptional support and guidance through their healthcare experiences.

Job Type: Full-time

Pay: $22.50 - $24.00 per hour

Benefits:

• Paid time off

Medical Specialty:

• Home Health

Schedule:

• 8 hour shift

Experience:

• Social work: 1 year (Required)

Language:

• Spanish (Preferred)
• Bengali (Preferred)

Work Location: Hybrid remote in New Hyde Park, NY 11042

Salary : $23 - $24