Social Care Network Screener/Navigator

Independent Living IncCity of Middletown, NY
Onsite

About The Position

The Social Care Network Screener/Navigator plays a critical role in supporting individuals with health-related social needs by conducting screenings, assessing eligibility for services, and connecting participants to community-based supports through the Social Care Network (SCN). This position works directly with Medicaid populations in hospital and community settings to identify barriers impacting health and well-being and ensure individuals are connected to appropriate services and resources. The Screener/Navigator serves as a compassionate advocate and resource connector while maintaining accurate documentation and collaborating closely with internal and external partners to enhance service delivery and participant outcomes.

Requirements

  • Must complete approved HVCC screening and Navigating training programs within the first week of employment.
  • Must successfully complete all required hospital onboarding requirements, including medical clearances, trainings, and any additional compliance requirements necessary to provide services within hospital settings
  • Demonstrated ability to recognize the need for and facilitate connections between consumers and ILI and other disability related services.
  • Knowledge of local, statewide and national disability related issues and community dynamics.
  • Excellent written and verbal presentation skills.
  • Strong communication and interpersonal skills with the ability to engage diverse populations
  • Must have good time management skills and be self-directing, especially if there is any downtime.
  • Basic computer proficiency and ability to navigate electronic platforms and databases
  • Must possess an unrestricted valid driver’s license and have reliable transportation.

Nice To Haves

  • High School Diploma/GED preferred.
  • Bi-lingual (English/Spanish) preferred.
  • Experience working within social services, healthcare navigation, care coordination, or community outreach programs
  • Familiarity with UniteUs, Foothold, or similar case management and referral systems
  • Knowledge of Medicaid populations and health-related social needs initiatives
  • Experience working in hospital, community-based, or human services settings
  • Ability to build strong relationships with community providers and service partners

Responsibilities

  • Conduct Initial Screening, Benefits Eligibility Assessment and Contracted Services.
  • Monitor Email regularly for UniteUs alerts from UniteUs and/or Program Manager.
  • Accept referrals on the UniteUs Platform and complete the Outreaches.
  • Conduct outreach to Medicaid populations residing in the SCN’s region and utilize a standardized screening tool to assess their health-related social needs.
  • Conduct Screenings, Navigation and Contracted Services from the Emergency Department at St. Lukes Montefiore in Newburgh on a rotating basis 2-3 days a week and in other community settings as needed.
  • Assess client eligibility for a range of services and refer to appropriate community-based social supports.
  • Leverage your social services experience and expertise to determine the most suitable resources and service providers for clients based on their needs, eligibility and preferences.
  • Develop and maintain an in-depth knowledge and understanding of the range of services (including eligibility criteria) available in both the SCN and existing local social services infrastructure.
  • Follow-up with clients to confirm health-related social needs have been addressed.
  • Carefully document outreach, screening, and referrals in the SCN data platform and Foothold.
  • Work closely with Program Manager to support the development and revising screening and navigation workflows and implementing process improvements that enhance SCN effectiveness.
  • Identify and prepare monthly participant success stories to demonstrate SCN impact and promote the network.
  • Complete all reporting and record keeping as required.
  • Attend and actively participate in all meetings and training sessions provided by the SCN network and/or agency.
  • Perform other duties as assigned or required to support program operations

Benefits

  • Paid holidays from the first day of employment
  • Paid lunch break
  • Paid time off
  • 401(k) with company match
  • Health, Dental and Vision insurance
  • Flexible Spending Accounts (FSA)
  • Company provided Life, AD&D and Short- and Long-Term disability insurance
  • Voluntary insurances including Critical Illness and Hospital Indemnity
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