Care Manager Navigator – Member Services

Forward Leading IPA • Rochester, NY

36d • $24 - $25 • Hybrid

About The Position

The Care Manager Navigator is responsible for supporting members with social care needs through care coordination, resource navigation, and referral management. This role helps ensure members receive timely access to services, addresses barriers to care, and collaborates with healthcare and community partners to improve outcomes across FLIPA's Social Care Network.

Requirements

• Bachelor's degree in social work, Human Services, Public Health, Nursing, Psychology, or a related field.
• Two (2) years of experience in care management, case management, care coordination, social services, or a related field.
• Strong communication, organizational, and documentation skills.
• Ability to manage multiple priorities while working collaboratively across teams.

Nice To Haves

• Experience with Medicaid, managed care, healthcare, or social care programs.
• Familiarity with care management platforms and electronic documentation systems.
• Bilingual candidates are encouraged to apply.

Responsibilities

• Conduct member outreach, assessments, and ongoing care coordination.
• Develop and maintain individualized care plans.
• Coordinate and track referrals to healthcare providers and community resources.
• Monitor member engagement and address barriers to service access.
• Collaborate with internal teams, managed care organizations, providers, and community partners.
• Maintain accurate and timely documentation in required systems.
• Identify and escalate complex cases, compliance concerns, or service gaps.
• Support quality improvement initiatives and network-wide coordination efforts.

Benefits

• 401(k) with Company Match
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (PTO)
• Flexible Schedule
• Mileage Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level