Medicaid Services Screener/Navigator

SUMMARY OF DUTIES:

The Medicaid Services Screener/Navigator is responsible for screening community members for eligibility for services, identifying their needs using a person-centered approach, and assisting them with connecting to service providers to secure assistance.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Provide empathetic and culturally competent screening for social determinants of health to community members telephonically, virtually, and/or in person.

· Process screens and referral intake daily, including calls with potential program participants, documentation, and insurance/eligibility verification.

· Receive, prioritize, monitor, and triage screenings and referrals that require service connections across community-based organizations.

· Managing incoming referrals received to ensure successful and timely connections are made between clients (community members) and the appropriate community partner that best meets community members' needs.

· Document progress and action taken with each referral and every interaction in the WNY Integrated Care IT platform, as required.

· Conduct In-Home Assessments with community members.

· Maintain effective communication with community members and/or referring organizations to ensure the receiving organization accepts and resolves referrals or redirects them to another provider, if necessary.

· Handle customer questions and concerns with excellent customer service, empathy, and patience.

· Attend WNY Integrated Care Screening/Navigation Workgroup.

· Demonstrates excellent customer service on the phone, in person, via email, and in all aspects.

· This position is responsible for working within WNY Integrated Care social care technology and transportation platforms.

· Seek opportunities to enhance and simplify the user experience.

· Position must abide by policies and procedures that support federal, state and local HIPAA and Fraud, Waste, Abuse regulations.

· In compliance with federal law, all persons hired must verify identity and eligibility to work in the United States.

SUPERVISORY DUTIES:

None

EDUCATION, TRAINING, EXPERIENCE, AND CERTIFICATION:

Must possess a bachelor’s degree in social work, public health, or human services. Education may be substituted for equivalent professional experience.

Experience providing care coordination, care management, or community-based client services is preferred.

Possess a valid NYS driver's license, insurance, and a dependable car to conduct business in the community. Mileage reimbursement is available. Must be willing to drive across Erie and Niagara counties.

WORK ENVIRONMENT:

The candidate will have a private office at our administrative office in Williamsville, NY. This community outreach position will require the candidate to leave the office to establish community partnerships, screen clients for services and assist them with navigation.

SALARY & BENEFITS:

Salary: $19.23-21.97 per hour or $35,000-$40,000 per year based on 35 hours per week

Health Insurance Coverage at 70%

FSA: $400 Employer Contribution (no match required)

Retirement: Up to 3% Match

Sick Time: 40 Hours

Vacation: Starts at two weeks

Holidays: 12 Days (Plus the week in between Christmas and New Year’s)

We're an equal-opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Job Type: Full-time

Pay: $19.23 - $21.97 per hour

Expected hours: 35 per week

Benefits:

• 401(k)
• 401(k) matching
• Flexible spending account
• Health insurance
• Paid time off

Work Location: In person

Salary : $35,000 - $40,000