DSS Community Engagement Navigator

Elevance Health•Durham, NC

15h•Remote

About The Position

The DSS Community Engagement Navigator serves as a vital link between the health plan, local Departments of Social Services (DSS), and community stakeholders. The role supports North Carolina’s Children and Families Specialty Plan (CFSP), a statewide Medicaid plan intended to provide coordinated health care and consistent access to benefits and services for Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system. Covered support areas include physical and behavioral health, pharmacy, intellectual and developmental disability services, long-term services and supports, unmet health-related resource needs, and integrated care management. The Navigator engages members with significant social determinants of health (SDOH) barriers, helps them access services and resources, and works with members, interdisciplinary teams, Care Managers, and external stakeholders to identify goals and develop aligned care plans. The role is virtual full-time, with required in-person training sessions and a requirement to be within reasonable commuting distance of the posting location unless a legally required accommodation applies. The position has a structured Monday-through-Friday schedule, 8:00 a.m. to 5:00 p.m. Eastern time, with occasional overtime or flexibility based on business needs and the ability to work from an office as needed. The position requires managing multiple communication channels and electronic queues while taking notes and speaking with customers, maintaining focus during extended periods of sitting, and communicating effectively in virtual and in-person settings. Other duties may be assigned.

Requirements

Bachelor’s degree in Public Health, Social Work, Rehabilitation Counseling, or a related field, and at least 2 years of experience in marketing, job development, job placement, or social work; alternatively, an equivalent combination of education and experience.
Strong verbal and written communication skills in virtual and in-person interactions.
Ability to maintain focus during extended periods of sitting and manage multiple tasks in a fast-paced, high-pressure environment.
Attention to detail, critical-thinking, and problem-solving skills.
Empathy and persistence in resolving caller issues completely.
Comfort and proficiency with digital tools and platforms.
Ability to work a structured Monday-through-Friday schedule from 8:00 a.m. to 5:00 p.m. Eastern time, with occasional overtime or schedule flexibility based on business needs and the ability to work from an office as necessary.

Nice To Haves

Familiarity with Vocational Rehabilitation and supporting members in overcoming barriers to employment.
Experience working with children, youth, and families served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs.
Experience serving children and youth involved in Foster Care and Social Services.
Experience managing delivery of services for children and youth with complex physical and behavioral health needs.
Knowledge of resources, supports, services, and opportunities needed for safe community living.

Responsibilities

Engage with members identified as having significant social determinants of health barriers.
Collaborate with members, interdisciplinary teams, and external stakeholders to identify goals and develop care plans addressing SDOH barriers, physical and behavioral health needs, and gaps in care.
Support members in accessing healthcare services and resources and help develop, maintain, and engage new relationships.
Interface with Care Managers to align individualized plans with existing or needed case management efforts.
Act as a liaison between community stakeholders and the health plan.
Handle calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking with customers.
Perform other duties as assigned.