Community Health Navigator

Community Health Navigator

Community Health Action of Staten Island (CHASI) drives dramatic improvements in the health of New Yorkers by feeding people who are hungry, healing families broken apart by violence, and bridging the gaps between people and the compassionate health care they deserve. CHASI provides outreach, education, prevention, and direct support services for populations most affected by health disparities – people with low or no income, low-income people with chronic illnesses, people with criminal justice involvement, people who use drugs, domestic violence survivors, people of color, and the LGBTQ community.

POSITION SUMMARY:

The Community Health Navigator is responsible for reaching out to and engaging Medicaid members both telephonically and in person to evaluate their health-related social needs (HRSN) and guide them toward appropriate health and social care services. The Community Health Navigator/CHW will use designated technology platforms and mobile devices to conduct outreach and screening in various community-based settings. The candidate may be assigned to various settings including physician practices, clinics, and/or community centers on a rotating basis. The Community Health Navigator/CHW builds trust with community members and assists them with accessing care at all levels of the continuum, and coordinating referrals to community services, programs, and Health Homes, as needed. The role involves approximately 30% field work on Staten Island with approximately 70% office time for follow-up and team meetings. This position plays a critical role in building trust with the community, ensuring members receive the care and support they need while coordinating services efficiently.

DUTIES & RESPONSIBILITIES:

Member Engagement & Outreach:

• Manage a caseload of assigned clients, conducting outreach both telephonically and in person.
• Use technology platforms to document client eligibility, outreach activities and case notes, outcomes of referrals, and other tasks as required.
• Perform HRSN screenings and assess eligibility for Enhanced HRSN Services based on Social Risk Factor Descriptions and clinical criteria.
• Serve as the primary point of contact for members throughout the HRSN process, providing guidance and support.
• Inform members about their healthcare benefits and coverage, as well as available Enhanced HRSN Services.

Service Coordination & Navigation:

• Guide members through the healthcare and social service system, ensuring they receive appropriate care without service duplication.
• Collaborate with members to verify existing services and confirm interest in new programs.
• Coordinate referrals to social care services, community programs, and Health Homes, ensuring seamless access to necessary resources.

Referral Management & Documentation:

• Create and manage referrals to HRSN service providers, ensuring accurate documentation in the member's Social Care Plan.
• Use designated technology platforms (CHANNEL, AWARDS, Events Form) to document member eligibility, outreach efforts, referral outcomes, and case notes.
• Monitor and track referrals to ensure successful connections and follow-up care.

Collaboration & Reporting:

• Work closely with team members, partner-based navigators/CHWs, and community organizations to manage members with complex needs.
• Report outreach, navigation updates, and case progress to supervisors.
• Participate in weekly care team meetings and other discussions to review outcomes and performance metrics.
• Perform all functions in alignment with CHASI's Mission, Vision, and Core Values
• Other duties as assigned

Requirements

QUALIFICATIONS:

• High School Diploma or Equivalency or GED required.
• Community Health Worker certificate preferred.
• Bilingual- mandarin required.
• At least 2 years of experience demonstrating strong communication skills with the ability to engage effectively with community members of diverse educational backgrounds and health literacy levels, as well as service providers and other stakeholders.
• Ability to effectively communicate with community members of varying levels of education, health literacy and understanding.
• Ability to navigate complex service delivery systems and facilitate service coordination.· Demonstrated ability to influence others while motivating positive change. · Experience documenting and managing referrals in digital systems.

CHASI is an equal opportunity employer and is committed to hiring and supporting a diverse staff. All qualified applicants will be afforded equal employment opportunities without discrimination because of race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, disability or marital status.