Social Care Network Care Manager
About The Position
The Social Care Network (SCN) Case Manager plays a critical role in advancing integrated, person-centered care through the Social Care Network. This position is responsible for addressing Health-Related Social Needs (HRSN) and Social Determinants of Health (SDOH) by coordinating services across healthcare, behavioral health, and community-based systems. The SCN Case Manager ensures individuals—particularly those with complex medical, behavioral health, and social needs—are effectively connected to essential supports such as housing, food, transportation, and other stabilizing services. This role emphasizes whole-person care, health equity, and improved outcomes through cross-sector collaboration and data-informed service delivery.
Requirements
- Associates Degree and 2 years experience in Health or Human Services
- Knowledge and experience with recovery supports, community resources, housing, employment and other professional and nonprofessional services.
- Valid NYS Driver’s License.
- Demonstrates ability to communicate effectively and work cooperatively with culturally diverse persons, staff and community service providers.
- Knowledge of local behavioral health services and substance abuse agencies.
- Ability to work effectively with diverse and underserved populations
- Ability to multi-task in a fast paced environment, have good problem solving skills, as well as excellent time management and organizational skills and the ability to remain calm in a crisis while providing crisis intervention.
- Proficient in Internet navigation, Microsoft Office, Outlook, Word, and Excel.
- Proficient in the use of electronic health records and ability to learn and utilize SCN data platforms and referral systems
Nice To Haves
- Experience working with those with substance use disorders mental health diagnosis, and chronic conditions is preferred.
Responsibilities
- Conduct comprehensive assessments to identify medical, behavioral health, and social care needs, including screening for HRSN/SDOH
- Coordinate and facilitate access to SCN services, including housing supports, nutrition services, transportation, and other community-based interventions
- Serve as a liaison between healthcare providers, community-based organizations (CBOs), and social care partners to ensure seamless service delivery
- Develop and implement individualized, person-centered care plans that address both clinical and social needs
- Support individuals in navigating systems of care and building skills to sustain long-term stability and independence
- Monitor progress and adjust care plans based on outcomes and evolving needs
- Maintain strong knowledge of local and regional SCN providers and resources
- Actively engage community partners to expand access and reduce service gaps
- Assist individuals in obtaining essential resources including housing, employment, transportation, food security, and healthcare access
- Complete timely and accurate documentation in electronic health records and SCN platforms
- Track and report on service utilization, referrals, and outcomes related to SCN interventions
- Support quality improvement efforts by monitoring performance measures, including engagement, satisfaction, and health outcomes
- Facilitate communication across multidisciplinary teams, including medical, behavioral health, and social care providers
- Participate in case conferences and care coordination meetings
- Utilize telehealth and digital platforms to enhance access and coordination
- Ensure all services are delivered in compliance with FLACRA, Medicaid, and SCN requirements
- Promote best practices in integrated care and uphold standards related to confidentiality, safety, and ethical care delivery
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
