SOCIAL CARE NAVIGATOR - Central Islip, NY

Economic Opportunity Council of Suffolk Inc•East Patchogue, NY

15h

About The Position

The Social Care Navigator provides HRSN screening and care management services to eligible Medicaid Managed Care members. Using the Unite Us platform, the navigator conducts screenings and eligibility assessments by phone, connects members with community-based resources, and manages individualized Social Care Plans. Services may address transportation, utility assistance, home safety modifications, temporary housing, and cooking supply delivery. The role also involves coordinating with internal and external providers, following up with members, and maintaining documentation in accordance with Medicaid and HEALI SCN requirements. The position requires a high school diploma, at least two years of relevant experience, bilingual English and Spanish skills, and completion of HEALI SCN training upon hire. A valid driver's license and insured vehicle are required, as is proof of a TB test (PPD) no more than one year old.

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.
PPD (TB test) with proof of results no more than 1 year old.
Ability to handle sensitive information discreetly and maintain client confidentiality.
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 evolving program guidelines.
Commitment to trauma-informed, person-centered care practices.
Understanding of social determinants of health and experience addressing the needs of underserved populations.
Proficiency in case management platforms.

Nice To Haves

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

Responsibilities

Conduct standardized Health-Related Social Needs (HRSN) screenings using the Unite Us screening tool by phone.
Screen Medicaid members annually or after major life events, obtain consent, verify Medicaid eligibility, and confirm enrollment in Social Care Coverage.
Conduct eligibility assessments by phone to determine qualification for Enhanced HRSN Services.
Educate members about screenings and help identify next steps for support.
Develop and manage individualized Social Care Plans, tracking referrals and outcomes in Unite Us.
Coordinate access to community-based services, 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 timely service delivery.
Follow up with members to assess satisfaction, service impact, and additional referral needs.
Document case notes, outreach attempts, and service updates according to HEALI SCN guidelines.
Maintain accurate records and comply with Medicaid and HEALI SCN program requirements.
Conduct screenings in a private, secure setting and assess whether follow-up care or navigation is needed.