What are the responsibilities and job description for the Social Care Navigator position at Jewish Family Service?

Job Description

SUMMARYThe Social Care Navigator will support individuals in accessing health-related social needs (HRSNs) services under the 1115 Waiver. The role involves helping clients understand and navigate the HRSNs, connect with community resources, and develop care plans tailored to their specific needs. The Social Care Navigator will conduct screenings to identify unmet health-related social needs and connect clients to enhanced HRSN services or to existing community, state, or federal supports. Additionally, the Social Care Navigator will work closely with Health Home Care Coordinators and other JFS staff, to connect current JFS clients to HRSN services and provide education about these services.

RESPONSIBILITIES & DUTIES

A representative summary of tasks to be performed is provided below . The employee may be asked to perform job-related tasks other than those specifically stated in this description. The duties and responsibilities of the position are to be carried out in a manner that is consistent with the mission, values, and operating principles of Jewish Family Services.

Conduct HRSN screenings, eligibility assessments, and develop client-centered Plan of Care to address client needs.
Assist clients with achieving their goals, in accordance with the Plan of Care.
Coordinate referrals to HRSN services, Health Homes, and other existing community, state, or federal programs and supports.
Conduct home visits with clients and travels into the community to meet with clients in other community-based settings, including medical provider appointments, hospitals, residential settings, and other community service provider offices.
Assist client with coordination of appointments including but not limited to scheduling, rescheduling, providing appointment reminders and arranging transportation.
Monitor and track client progress, ensuring that services are delivered to meet client needs. Provide ongoing support, check in on client outcomes, and adjust Plan of Care as needed.
Works closely with the interdisciplinary care team, including Health Home Care Coordinators and other JFS staff, to connect clients to HRSN services.
Conduct research on community resources and government benefit programs to determine eligibility criteria, provide appropriate referrals, and perform follow up activities for referrals.
Build and maintain relationships with community-based organizations, social service agencies, and other relevant stakeholders to ensure access to available resources for clients.
Assist clients during periods of crisis, ensuring they receive immediate attention and support in accessing necessary services.
Utilize culturally sensitive and linguistically appropriate strategies to engage and deliver services to clients.
Accurately document all interactions with clients and all efforts made towards client engagement. Submit all progress notes within 48 hours of the client encounter.
Effectively utilize electronic systems, including WNYICC documentation platform, HEALTHeLink, PSYCKES, and ePACES.
Provide education to other members of the Care Coordination Division and other JFS departments on the 1115 Waiver and HRSNs services
Attend agency and department in-service training and staff meetings as well as any other agency related activities as required.
Effectively support health home programs on an as needed basis.

QUALIFICATIONSEducation and Experience :

Bachelor's degree in any of the following : child & family studies, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreation therapy, rehabilitation, social work, sociology, or speech and hearing AND

Two (2) years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism, or substance abuse, and / or children with SED

Bachelor's level education or higher in any field with three years of experience working directly with persons with behavioral health diagnoses

Bachelor's level education or higher in any field and two (2) years of experience as a Health Home care manager serving the SMI or SED population.

Knowledge, Skills & Abilities :

Exhibited ability to effectively work within an inclusive and culturally and linguistically diverse environment.

Strong internet research and computer skills, especially with Outlook, Word, Excel, PowerPoint, and web-based health information systems.

Bilingual skills desirable. English speaking and writing fluency required.

Demonstrate basic knowledge of chronic conditions, including chronic mental conditions, HIV / AIDS, and serious mental illness.

Competencies :

Judgment and Decision Making - Considers relative pros and cons of potential actions to choose the most appropriate one.

Time Management – Uses time effectively and efficiently; values time; concentrates efforts on the more important priorities; gets more done efficiently and effectively.

Communication Intelligence - Listens to others, able to communicate issues clearly and credibly with widely varied audiences and overcome resistance; fosters open communication and manages emotion in positive ways

Adaptability & Flexibility - Adapts to changing business needs, conditions, and work responsibilities

Client Focus - Understands and meets customer needs, whether internal or external, providing a high level of service and cooperation courteousness & sensitivity)

Initiative & Adaptability - Deals with situations and issues proactively and persistently, personal willingness and ability to respond to change and ability to meet deadlines.

WORKING CONDITIONS

Will work in the office and in the community; able to travel outside the office to various sites to attend meetings and provide support services.

Must have access to a reliable vehicle, possess a valid, clean driver’s license and be sufficiently self-insured with liability insurance in the amount of $100 / $300k.

Flexible hours including days and some evenings and / or weekends.

PHYSICAL REQUIREMENTS

Physical activities and efforts required working in an office environment.

Visual acuity sufficient to maintain system of files and reports containing computer-generated and handwritten documents.

Auditory acuity sufficient to communicate with staff, clients, and others by phone and in person.

Mobility sufficient to conduct regular duties within a normal office environment and community.

COMPENSATION & BENEFITS

Competitive salary of $21.00 to $28.00 per hour, commensurate with experience and qualifications.

Health, Dental, and Vision insurance.

Accrued Paid Time Off (PTO) of 4 weeks.

401k retirement plan with agency contribution of 4%.

13 observed holidays annually.

Reduced full-time work week of 35 hours and early close on Fridays.

The above pay range is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including, but not limited to, background, knowledge, skills, and abilities.

Jewish Family Services of Western New York is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Salary : $21 - $28

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