Community Care Navigator

CARTER BURDEN NETWORK INC • New York, NY

44d • Hybrid

About The Position

Carter Burden Network (CBN) – Geriatric Community Transition Program is launching a new pilot program supporting adults 60+ as they transition from hospital or emergency department discharge back to their homes. This program aims to help older New Yorkers return home safely after a hospital stay. The role involves strengthening the safety net for older adults across Upper Manhattan and Roosevelt Island. The Community Care Navigator will play a hands-on role in stabilizing the critical first weeks after discharge.

Requirements

• Bachelor’s degree (BA/BS) required
• Experience in social services, care coordination, discharge planning, or community health preferred
• Strong communication skills, cultural sensitivity, and comfort working in dynamic environments
• Ability to travel throughout Upper Manhattan and Roosevelt Island for home visits
• Bilingual proficiency is considered an asset, particularly in languages reflective of the communities we serve. Preference will be given to candidates who ae proficient in a second language, with Spanish proficiency especially valued.

Responsibilities

• Meeting patients, caregivers, and hospital discharge teams onsite
• Coordinating communication between hospital staff, families, and community providers
• Conducting structured home visits
• Identifying risks, medication access issues, equipment needs, and home safety concerns
• Providing referrals to strengthen the home environment
• Explaining discharge instructions in clear, culturally responsive ways
• Supporting symptom monitoring and disease self-management
• Ensuring clients understand their medications
• Scheduling follow-up appointments and confirming provider connections
• Linking clients to transportation, home care, nutrition programs, Medicare/Medicaid support, legal aid, and mental health services
• Maintaining accurate records in the program database
• Participating in trainings, meetings, and case conferences
• Reporting urgent concerns promptly

Benefits

• Multiple health and dental plan options (some 100% employer-paid)
• Up to 15 vacation days
• 4 personal days
• 10 sick days
• Paid holidays
• 403(b) retirement plan with a 3% employer contribution
• Additional matched contribution to 403(b) after one year of service
• Professional development through ongoing training, mentorship, and opportunities for growth

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees