Social Care Navigator/Community Health Worker

Staten Island Performing Provider System (SI PPS) is a non-profit organization participating in the New York State Department of Health 1115 Medicaid waiver amendment, New York Health Equity Reform (NYHER). Under the waiver, SI PPS is designated as a lead entity to support the Richmond County Social Care Network (SCN). The SCN lead entity is responsible for coordinating a network of community-based organizations and providers to better enable health-related social needs (HRSN) screening and the delivery of social care services. The overall goal of the program is to improve health outcomes, provide equitable access to care, and reduce health disparities.

Job Description : Reporting to the Care Navigation Manager, t he Social Care Navigator / Community Healthcare Worker (CHW) is responsible for outreaching and engaging with Medicaid members telephonically and in person to assess health-related social needs (HRSN) and navigate members to health and social care services. The Social Care Navigator / CHW will use designated technology platforms and mobile devices to conduct outreach and screening in various community-based settings. The candidate may be assigned to various settings including physician practices, clinics, and / or community centers on a rotating basis. The Social Care Navigator / CHW builds trust with community members and assists them with accessing care at all levels of the continuum, and coordinating referrals to community services, programs, and Health Homes, as needed. The role involves approximately 80% field work on Staten Island with approximately 20% office time for follow-up and team meetings.

Responsibilities :

• Manage a caseload of assigned clients and conduct outreach, HRSN screening, and comprehensive navigation for referrals to social care services.
• Use technology platforms to document client eligibility, outreach activities and case notes, outcomes of referrals, and other tasks as required.
• Collaborate and communicate with team members, partner-based navigators / CHWs, and community partners to manage members with complex needs.
• Provides members with accurate information concerning health care benefits and coverage.
• Report to supervisor with outreach and navigation updates. Attend weekly care team meetings and other meetings to review outcomes and performance.
• Performs other duties as assigned.

Qualifications

Education :

Skills / Requirements :

This job description is not designed to cover or contain a comprehensive listing of task activities and / or duties that are required of the employee for this job. Responsibilities and activities may change at any time.