Social Care Navigator-Capital Region

Healthy Alliance • City of Schenectady, NY

1d • Hybrid

About The Position

At Healthy Alliance, our purpose is to improve health and empower the underserved. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy.

Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for HRSN screening, navigation, and the delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our mission of advancing health equity within and across historically marginalized communities.

As a 2019-2024 Albany Business Review’s Best Places to Work and a 2021-2024 Modern Healthcare’s Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team.

The Social Care Navigator is responsible for conducting HRSN screenings, eligibility assessments, and navigation activities for Medicaid Fee-for-Service and non-eligible Managed Medicaid members.

We are looking for someone in the Capital Region.

Requirements

• Associate degree in health, social services, or related field preferred. Equivalent work experience in a related field may be considered in lieu of degree requirements.
• Minimum of 5+ years related experience in a clinical, non-profit, or Managed-Care Organization (MCO) environment preferred.
• Extensive knowledge and understanding of health equity, social drivers of health, and social care data.
• Excellent communication and presentation skills.
• Ability to build collaborative working relationships with others inside and outside the organization through cooperation and mutual respect. Capacity to inspire and motivate others.
• Thrive working with multiple systems and processes.
• Demonstrate ability to use various technology platforms to ensure successful and timely referral connections are made.
• Extremely detail-oriented and capable of multitasking.
• Proven record of hitting key metrics, defining effective data-driven network development strategies, and problem-solving.
• Proficient computer skills and willingness to learn additional software applications.
• Demonstrated ability to thrive in a demanding environment.
• Performs all work in accordance with Healthy Alliance core competencies and values
• Effectively work in a hybrid work environment. Some local travel may be required for meetings, community events, and other job-related responsibilities.
• Demonstrate commitment to the values of diversity, equity, and inclusion.

Nice To Haves

• Experience using translation services preferred.

Responsibilities

• Manage incoming referrals for screening and navigation to ensure successful and timely connections for community members.
• Assign Members already connected to an established contracted care team to their SCN-designated screener and/or Social Care Navigator to conduct screening and navigation activities, fostering continuity with existing contracted care teams.
• For those Members not engaged, conduct and document outreach in alignment with required frequency, modality, and timeframe.
• Manage Member consent and attestation as required throughout the engagement.
• Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess member HRSNs.
• Conduct eligibility assessments to determine Member eligibility for enhanced HRSN services and refer Members to eligible programs and services, including enhanced HRSN services and/or existing federal, state, and local resources
• Maintain effective communication with internal team members, community members, and partner organizations to ensure acceptance, resolution, or redirection of referral requests.
• Document progress notes and action taken with each referral as detailed in the Network Standards and Quality Program.
• Regularly use data and data tools to report referral patterns and trends to the Referral Coordination Manager.

Benefits

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree