Community Health Care Navigator

Rising Ground•New York, NY
•Hybrid

About The Position

The Community Health Care Navigator identifies and screens Medicaid members and connects them with resources to improve their health and wellness. As part of the Healthcare Navigation team’s Social Care Network Initiative, the Navigator addresses health-related social needs across diverse communities. The role engages members in person and by phone, assesses social needs and eligibility for services, makes and tracks referrals, and provides follow-up support and advocacy. The Navigator also documents member interactions, coordinates with providers and community organizations, educates members about available services, and participates in meetings and outreach events. The position is based in New York City, with work in Brooklyn or the Bronx and possible travel to other Rising Ground sites.

Requirements

  • High school diploma.
  • Previous experience working with Medicaid populations.
  • Strong understanding of the social determinants of health.
  • Compassionate, empathetic, and patient-centered approach.
  • Ability to handle sensitive information and maintain confidentiality.
  • Authorized to work in the United States.
  • Ability to work in person in New York City.
  • Ability to travel to other Rising Ground sites if required.

Nice To Haves

  • Bachelor’s degree.
  • Knowledge of the child welfare system.
  • Bilingual in English and Spanish.

Responsibilities

  • Engage Medicaid members in person and by phone to conduct standardized screenings for social needs, including housing, food insecurity, transportation, and utilities.
  • Assess member eligibility for social care services and refer members to community-based organizations and other local resources, with an emphasis on the Bronx.
  • Use a designated IT platform, such as FindHelp, to manage and track referrals.
  • Monitor referrals and follow up with members to support successful connection to and use of services.
  • Provide ongoing support and advocacy to help members overcome barriers to care.
  • Maintain detailed and accurate records of member interactions, assessments, and referrals, and enter data into the designated electronic platform in compliance with program and regulatory requirements.
  • Coordinate care with an interdisciplinary team, including medical and behavioral health providers.
  • Build and maintain relationships with community-based organizations and social service agencies in the Bronx.
  • Attend internal and external meetings and outreach events.
  • Educate members about social care screenings, available services, and how to access and manage resources, empowering them to participate in their own care.
  • Perform other related duties as assigned by the supervisor.

Benefits

  • Competitive salary structure.
  • Health, dental, and vision insurance.
  • 401(k) with company match.
  • PTO policy including 11 paid holidays, paid sick time, paid vacation, and paid personal days.
  • Remote or flexible work options.
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