SOCIAL CARE NAVIGATOR - Central Islip, NY

The Economic Opportunity Council of Suffolk•Patchogue, NY

19h•$55,000 - $55,000

About The Position

The Social Care Navigator conducts standardized Health-Related Social Needs (HRSN) screenings and provides care management to eligible Medicaid Managed Care members. The role coordinates access to community-based resources that address social determinants of health and maintains documentation in accordance with Medicaid and HEALI SCN program requirements. Using the Unite Us platform, the navigator administers screenings by phone, verifies eligibility and consent, and helps members understand screening results and identify next steps. For members eligible for Enhanced HRSN Services, the navigator conducts eligibility assessments, develops and manages individualized Social Care Plans, coordinates referrals across service areas, and follows up with members to assess outcomes and additional needs. The position collaborates with the in-house EOC program and external providers to support timely service delivery.

Requirements

High school diploma.
At least 2 years of experience in care coordination, case management, social services, or a related setting.
Bilingual in English and Spanish.
Valid driver's license and insured vehicle.
Current PPD/TB test results, no more than 1 year old.
Demonstrated understanding of social determinants of health and experience addressing the needs of underserved populations.
Proficiency with case management platforms.
Strong communication and interpersonal skills to build trust and rapport with clients.
Ability to work independently with minimal supervision, manage time effectively, and adapt to changing program guidelines.
Ability to handle sensitive information discreetly and maintain client confidentiality.
Commitment to trauma-informed, person-centered care practices.
Completion of required HEALI SCN training upon hire.

Nice To Haves

Familiarity with Unite Us.
Prior experience working with Medicaid populations or community-based health programs.

Responsibilities

Conduct standardized HRSN screenings using the Unite Us screening tool by phone.
Screen Medicaid members annually or after major life events, such as hospitalization, loss of benefits, or a change in housing.
Obtain member consent, verify Medicaid eligibility, and confirm enrollment in Social Care Coverage.
Conduct screenings in a private, secure setting and assess the need for follow-up care or navigation.
Educate members about the purpose and outcome of screenings and assist them in identifying next steps for support.
Conduct phone-based eligibility assessments to determine whether Medicaid Managed Care members qualify for Enhanced HRSN Services.
Develop and manage individualized Social Care Plans, tracking referrals and outcomes in Unite Us.
Coordinate services in areas including transportation, utility assistance, home safety modifications, temporary housing, and cooking supply delivery.
Collaborate with the in-house EOC program and external providers to support service delivery within designated timelines.
Follow up with members to assess satisfaction, service impact, and the need for additional referrals.
Document case notes, outreach attempts, and service updates according to HEALI SCN guidelines.
Maintain accurate documentation and comply with Medicaid and HEALI SCN program requirements.