Social Care Navigator I

Care Compass NetworkCity of Binghamton, NY

About The Position

RESPONSIBILITIES: The responsibilities of the Social Care Navigator will include the following: Essential Functions: Access Member through conducting Screenings to determine eligibility for Waiver services Educate clients, and community partners about 1115 Waiver benefits by participating in outreach initiatives to increase program awarenes. Work with Medicaid Members to connect them to the appropriate services to address their HRSNs that align with the Members’ preferences, limitations, disabilities, etc. Assist in providing outreach, eligibility assessment, referral management, care coordination, and education.  Assist in confirmation of assessments and members needs Assist with interviewing participants to obtain basic data, past medical history, and defers outocmes to more senior level navigators to determine income status/program eligibility.  Monitors and responds to communication(s) received from Members made via phone calls or from the Care Compass Collaborative website.  Assist in establishing relationships with community agencies, service providers, and stakeholders to stay informed about available resources and referral pathways.  Knowledgeable about community resources appropriate to the needs of participants/families and act as an advocate and liaison between the participant/family and community service agencies. May assume additional responsibilites, as required. MUST Maintain HIPAA compliance at all times.

Requirements

  • Possession of a high school diploma or equivalent; AND two (2) years of work experience in the health care, community health, or social services field; OR two (2) years of college-level training in health occupations may substitute for one (1) year of work experience.
  • Familiarity with the U.S. healthcare system and federally funded healthcare programs.
  • Possesses strong communication skills (written and verbal)
  • Proficient in planning & time management
  • Ability to work independently with minimal supervision
  • Utilizes critical thinking skills
  • Possesses adaptability skills (both in attitude and action)
  • Must have strong personal computer program skills including Microsoft Outlook, Microsoft Office (Word, Excel PowerPoint etc.)
  • Facilitation of meetings either in person or via virtual platforms such as Zoom

Responsibilities

  • Access Member through conducting Screenings to determine eligibility for Waiver services
  • Educate clients, and community partners about 1115 Waiver benefits by participating in outreach initiatives to increase program awarenes.
  • Work with Medicaid Members to connect them to the appropriate services to address their HRSNs that align with the Members’ preferences, limitations, disabilities, etc.
  • Assist in providing outreach, eligibility assessment, referral management, care coordination, and education.
  • Assist in confirmation of assessments and members needs
  • Assist with interviewing participants to obtain basic data, past medical history, and defers outocmes to more senior level navigators to determine income status/program eligibility.
  • Monitors and responds to communication(s) received from Members made via phone calls or from the Care Compass Collaborative website.
  • Assist in establishing relationships with community agencies, service providers, and stakeholders to stay informed about available resources and referral pathways.
  • Knowledgeable about community resources appropriate to the needs of participants/families and act as an advocate and liaison between the participant/family and community service agencies.
  • May assume additional responsibilites, as required.
  • MUST Maintain HIPAA compliance at all times.
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