Client Navigator

About EngageWell Community Health & Innovation Collaborative

EngageWell CHIC is a start-up, nonprofit organization formed by 20 not-for-profit health and human services agencies in New York City, using a multi-year grant from New York State (NYS) to develop the infrastructure necessary to offer value-based, clinically integrated services to Medicaid Managed Care (MMC) enrollees. In the next few years, the small EngageWell leadership team will be responsible for 'standing up' a 21st Century healthcare organization dedicated to improving the quality of care for low-income New Yorkers with chronic medical conditions and serious behavioral health disorders.

Today, the EngageWell network of community-based organizations promotes access to life saving services, increases engagement and retention in care, and advances the dignity and wellbeing of marginalized populations across NYC. Our member agencies have a long history of addressing the social determinants of health (SDH) for individuals with complex medical, behavioral, and long-term care needs that drive a high volume of high-cost healthcare interventions. Member agencies provide the following services to address the medical, health, and social determinants of health needs for clients:

• Care Management / Care Coordination
• Behavioral Health: Mental Health & Substance Use Counseling, Syringe Exchange, Opioid Treatment, Overdose Prevention
• Prevention Services: Food / Nutrition, Education, Wellness, Peer Support, HIV Prevention, Harm Reduction
• Other SDH: Housing, Pre-vocational Services, Supported Employment, Employment / Vocational Services, Legal Services
• Medical: Primary Care, Dental Care, Pharmacy, HIV Prevention/Treatment

Position Overview

EngageWell seeks a dedicated and community-oriented Client Navigator to assist clients in accessing telemedicine and digital health programs across our network. This role provides direct, hands-on support to clients, focusing on digital literacy, health navigation, and engagement in care. The Client Navigator works under the supervision of the Program Director.

Key Initiatives Supported

• Healthy Aging: Mental health, cognitive, and heart health assessments and telemedicine visits for adults over 60. Medication adherence for adults over 60.
• Telemedicine Health Program: Urgent care and remote screenings for mental health, nutrition insecurity, and heart health with telemedicine visit and referrals.
• HIV Control Program: Medication adherence and engagement in care.
• Digital Food Pantry & Nutrition Program (Tangelo): Digital food pantry with home-delivered food boxes to improve food-related chronic conditions and food insecurity.
• Digital Literacy & Inclusion: Building client confidence in technology:
  • Provide clients with personalized assistance using digital health apps (Tangelo, Perx Health) and telemedicine platforms.
  • Deliver one-on-one and group digital literacy education, in-person and remotely.
  • Support client connections to telemedicine appointments and to follow-up medical, behavioral health, and social services.
  • Conduct outreach and re-engagement with clients not currently in care.
  • Facilitate remote patient monitoring for blood pressure control and health data collection.
  • Conduct home visits and field-based outreach as needed.
  • Gather client feedback to inform program improvement.
  • Participate in community events and health fairs.

Administrative Responsibilities

• Document all client interactions and outcomes in data systems.
• Participate in program evaluation activities and team check-ins.
• Assist in data collection, reporting, and quality improvement efforts.
• Support distribution of client incentives (e.g., gift cards).

Qualifications

1. High school diploma or equivalent required; associate’s or bachelor’s degree preferred.
2. At least 5 years of experience in case management, community health work, or peer navigation (or equivalent combination of training and experience).
3. CHW or Peer Educator Certification a plus.
4. Strong communication skills and ability to engage diverse populations.
5. Comfort with smart phone and digital health applications.
6. Knowledge of NYC’s healthcare and social service landscape.
7. Preference given to bilingual applicants (Spanish/English). Additional proficiency in Mandarin or Haitian Kreyòl is a plus.
8. Must be comfortable conducting home and field visits.
9. Must be comfortable navigating the NYC public transportation system.

Working Conditions

• Full-time position; hybrid of fieldwork/home visits (60%), and remote, work-from-home (40%).
• Must be available for occasional evenings/weekends for community events.

Skills

• Detail oriented and comfortable working directly with sensitive data, cleaning data, and managing spreadsheets.
• Strong interpersonal, written, and verbal communication skills.
• Team player who can work closely with others with respect and a sense of humor.
• Ability to stay organized when working on multiple projects; willingness to ask for help when needed.
• Ability to work remotely and communicate effectively with colleagues regarding deliverables.
• Willingness to travel throughout the five boroughs of NYC, when needed.
• Familiarity with Unite Us for client referrals and tracking a plus.
• Experience using Microsoft Office Suite and Google tools (Excel, PowerPoint, Word, Google Forms, etc.).
• Experience working in grant-funded social service programs.
• Knowledge and understanding of harm reduction principles and trauma-informed care.

Grant Funded Position, with 18-month funding commitment, possibility for extension.