Family Stabilization & Integrated Care Navigator
Center for Family Life & Recovery
Family Stabilization & Integrated Care NavigatorThe Family Stabilization & Integrated Care Navigator provides intensive family-centered case management services to TANF-eligible households experiencing complex challenges, including housing instability, homelessness, mental health conditions, substance use disorders, developmental disabilities, domestic violence, and barriers to self-sufficiency. This position works with families to identify strengths, assess needs, develop stabilization plans, and coordinate services across multiple systems to promote long-term stability, resilience, and family well-being. The Navigator serves as a central point of coordination, helping families access resources, navigate service systems, overcome barriers, and achieve individualized goals through a strengths-based, trauma-informed, and family-driven approach.Essential FunctionsConduct comprehensive assessments to identify family strengths, needs, and barriers related to housing, employment, mental health, substance use, developmental disabilities, domestic violence, and overall family functioning.Develop individualized family stabilization plans with measurable goals designed to support self-sufficiency and long-term well-being.Provide intensive family-centered case management and ongoing care coordination services.Assist participants with attending appointments, meetings, activities, and service requirements necessary to achieve identified goals.Provide crisis intervention and same-day support services, including connection to emergency housing, behavioral health, and substance use treatment resources.Support families in accessing and maintaining housing through housing searches, landlord engagement, advocacy, and barrier reduction strategies.Assist individuals and families with navigating federal, state, and local benefit systems including Social Security, public assistance, housing assistance, childcare subsidies, and related supports.Collaborate with SPOA, CSPOA, Department of Community Services, social services agencies, treatment providers, housing providers, schools, and community partners to ensure coordinated, non-duplicative services.Provide advocacy and support during service planning meetings and help ensure family voices remain central to all decision-making processes.Coach families in life skills, budgeting, parenting strategies, resource navigation, problem-solving, and resilience building.Coordinate non-recurring direct supports, such as transportation assistance, hygiene products, interview clothing, and other approved resources that reduce barriers to stability.Develop and maintain collaborative relationships with community partners to strengthen referral networks and improve service access for families.Participate in case reviews, staff meetings, supervision, training opportunities, and community coalition meetings.Complete all required documentation, assessments, case notes, service plans, referrals, and reports accurately and within established timelines.Maintain confidentiality and comply with all agencies, county, state, and federal regulations.Provide occasional transportation of clients in accordance with CFLR transportation policies.Attend CFLR staff meetings and agency functions as required.Perform other duties as assigned by supervisor.KnowledgeCase Management and Human Services - Knowledge of family systems, case management practices, crisis intervention, care coordination, and community-based service delivery.Housing and Benefit Systems - Knowledge of housing resources, public benefits, entitlement programs, and community support services.Behavioral Health - Knowledge of mental health, substance use disorders, recovery principles, trauma-informed care, and developmental disabilities.Clerical - Knowledge of administrative and clerical procedures including documentation, case records, electronic health records, and reporting systems.Computers and Technology - Working knowledge of Microsoft Office applications, electronic record systems, data entry, and virtual communication platforms.SkillsActive Listening - Giving full attention to clients, community partners, and team members while accurately identifying needs and concerns.Critical Thinking - Using logic and reasoning to identify solutions and remove barriers to family stability.Service Orientation - Actively seeking ways to support families and connect them with appropriate services.Care Coordination - Successfully managing and coordinating services across multiple systems and providers.Communication - Communicating clearly and effectively in both verbal and written formats.Problem Solving - Identifying challenges and implementing practical solutions that support family goals.Organization and Time Management - Managing caseloads, documentation requirements, and competing priorities effectively.AbilitiesWritten Comprehension - Ability to read and understand written reports, policies, and client information.Oral Comprehension - Ability to understand information presented through spoken communication.Oral Expression - Ability to clearly communicate information and recommendations to clients, families, and professionals.Written Expression - Ability to effectively document services and communicate through written correspondence.Relationship Building - Ability to establish and maintain positive relationships with families, community partners, and colleagues.Adaptability - Ability to respond effectively to changing client needs and crisis situations.Work ValuesKindness - Showing care through service, compassion, respect, and supportive engagement.Integrity - Following through on commitments and maintaining professionalism and accountability.Excellence - Delivering high-quality services while continually seeking improvement and growth.Efficiency - Working collaboratively and effectively to achieve positive outcomes.Purpose - Supporting CFLR's mission and empowering families to achieve stability and self-sufficiency.Courage - Taking initiative, addressing challenges directly, and advocating for families when needed.RequirementsQualificationsBachelor's degree in social work, Human Services, Psychology, Counseling, or a related field required; Master's Degree preferred.Minimum of two years of experience in case management, housing services, behavioral health, family support services, care coordination, or a related human services field preferred.Experience working with families experiencing housing instability, behavioral health challenges, poverty, domestic violence, substance use, or developmental disabilities preferred.Demonstrated ability to build collaborative relationships with community partners and service providers.Strong documentation, organizational, and communication skills.Ability to work independently while maintaining effective communication with supervisors and team members.Current and valid New York State driver's license with reliable transportation.
- ...Description Job Description The Homeless Family Case Manag er will deliver the most... ...partners, to ensure coordinated care and the highest quality of services.... ...Conduct weekly visits with families until stabilization is achieved, reducing frequency as stability...SuggestedPermanent employment
$95 per hour
...Practitioner in Psychiatry Join our Stabilization Center and provide comprehensive treatment... ...per week Division: Behavioral Health Care Status: Part time positions up to 19... ...consultations. Coordinates with clients and families about preventive care, medications, and...SuggestedDaily paidFull timePart timeRelocation package3 days per week$46.92k
...reside in on-campus student homes and provide care, guidance, supervision, and support for a... ...a vital role in creating a structured, family-like environment that fosters students'... ...to lift to 50 lbs. * Demonstrated integrity and professionalism; MHS staff serve as role...SuggestedFull timeRelocationRelocation packageFlexible hoursWeekday work- ...RN - Nurse NavigatorThe RN - Nurse Navigator acts as the primary point of contact and is responsible for monitoring and coordinating care for cancer patients and families. Individualized assistance offered to patients, families, and caregivers to help overcome healthcare...SuggestedWork at office
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...benefits. Key Responsibilities Resident & Family Support Conduct interviews with... ...experiencing difficult transitions. Care Plan Development Develop... ...healthcare team. Assist residents in navigating and applying for appropriate social services...SuggestedFull timeImmediate start$20k
...Nurse, Charge is to evaluate and direct nursing care of residents on a particular nursing care unit. Integrate the philosophy and objectives of the Nursing... ...updates regarding the plan of care to residents, families, nursing staff and other nursing home personnel....Full timeRelocation packageAll shiftsShift work$125k - $175k
...required. Optum Home & Community Care, part of the Optum family of businesses, is creating something... ...industry-leading solutions to build an integrated care model that holistically... ...needs - helping patients access and navigate care anytime and anywhere. As a team...Minimum wageTemporary workWork experience placementLocal areaRelocation package$250k - $300k
...Palliative Care PhysicianLocation: The Grand at Mohawk Valley – Ilion, NY; The Grand at Barnwell – Valatie, NY; The Grand... ...guiding goals-of-care discussions, and supporting residents and families as they navigate complex medical decisions.ResponsibilitiesDeliver...Full time- ...000 Sign-on Bonus In Home Care, No Nights, Weekends or Holidays... ...Care , part of the Optum family of businesses, is creating something... ...solutions to build an integrated care model that holistically... ...helping patients access and navigate care anytime and anywhere. As...Temporary workLocal areaRelocation packageWeekend work
$125k - $175k
...per week" Optum Home & Community Care, part of the Optum family of businesses, is creating something... ...industry-leading solutions to build an integrated care model that holistically... ...needs - helping patients access and navigate care anytime and anywhere. As a team...Minimum wageWork experience placementLocal areaRelocation packageFlexible hours- ...in Ilion, NY is seeking a Social Worker to join our team. You will conduct psychosocial assessments, provide counseling, and develop care plans in collaboration with the healthcare team. Ideal candidates hold a Bachelor's in Social Work with healthcare experience,...Full time
$3,000 - $5,200 per month
...Nurse Practitioner Transform patient care with AI — at the bedside and in the home.... ...direct patient care with tech-to-bedside integration through hands-on training, live demos, and... ...Practitioner in NY; ANCC (or equivalent) in Adult/Family/Geriatric/Acute. ~ Eligible for...Daily paid$100k - $105k
...compassionate Full-Time Licensed Marriage and Family Therapist (LMFT) to enhance the mental... ...Organization Lumina Mental Wellness Care Provider is a progressive mental health counseling... ...well-being. Previous involvement in integrating holistic approaches to therapy is a plus....Full timeWork at officeRemote work$19 per hour
...WellNow Patient Care Technician WellNow Urgent Care takes pride in creating an environment filled with meaningful work and opportunities... ...illness, review of systems, past medical and surgical history, family and social histories, medications and allergies Document...Hourly payShift work$150k - $200k
...- Chittenango, NY Facility 8: Masonic Care Community of New York - Utica, NY Schedule... ...with nursing home staff, residents, and families. Proactively follow up with patients... ...and treatment recommendations. Integrate pharmacological and behavioral interventions...Full timeContract workPrivate practiceFlexible hours$20 - $22 per hour
...their children. Through trauma-informed, survivor-centered care, you’ll help individuals navigate difficult situations, access critical resources, and... ...a safer, more hopeful future for survivors and their families. We value work-life balance and offer some stellar benefits...Hourly payMonday to FridayShift workWeekday work$53 - $79 per hour
...Candidates Optum Home & Community Care, part of the Optum family of businesses, is creating something... ...-leading solutions to build an integrated care model that holistically addresses... ...needs - helping patients access and navigate care anytime and anywhere. As a team...Hourly payDaily paidMinimum wageFull timeTemporary workWork experience placementLocal areaRelocation package- ...Plan (ISNP) - Senior Community Care (SCC) Location: On-... ...SCC program is a longitudinal, integrated care delivery model that... ...of the following specialties: Family, Adult, Gerontology, or Adult... ...pound bag in/out of a vehicle, navigating stairs, and sitting, standing...Full timeContract workTemporary workLocal areaMonday to FridayShift work
$38 - $42 per hour
...ourInsights Residential Rehabilitation and Stabilization Program. The Registered Nurse (RN) will... ...and follows medical orders for patient care. Communicate with supervisor, medical... ...dental and vision for employees and families. ~ Paid Vacation and Sick leave - No Waiting...Hourly payFull timeTemporary workLocal areaShift work- ...Difference Every Day! At Prime Care Coordination (PCC) , our Care... ..., and helping individuals navigate healthcare and community... ...ll partner with individuals, families, providers, and community resources... ...-centered Life Plan that integrates an individual’s personal wants...Work at officeLocal areaRemote work
- ...Worker to join our skilled nursing team. This position plays an important role in supporting our residents and families while promoting resident-centered care and quality of life. RESPONSIBILITIES Complete social service assessments and documentation...Local area
- ...CNYHHN Inc. seeks a Manager of the Herkimer County System of Care (SOC), also Lead Family Coordinator, to lead family-centered initiatives and coordinate grant-funded activities across youth and families, schools, and service providers. The role focuses on strengthening...
$18.02 per hour
...The Certified Nursing Assistant (CNA) performs various resident care activities and services necessary in caring for the personal needs... ...predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status...Full timeReliefNight shift- ...will also advocate for the individuals to be fully integrated into community life. Join the Upstate Caring Partners Team as a Residential Manager Upstate Caring... ...with the people we support, program employees, families, community agencies, and other agency departments....Work at officeFlexible hoursShift work
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...works in a fast-paced environment, providing care to patients with different levels of... ...patients who urgently need treatment and stabilize their vitals, while limiting pain and discomfort... .... Educate patients and families on disease prevention, health management,...Full timeContract workReliefShift work$2,271 per week
...works in a fast-paced environment, providing care to patients with different levels of... ...patients who urgently need treatment and stabilize their vitals, while limiting pain and discomfort... .... Educate patients and families on disease prevention, health management,...Daily paidFull timeContract workLocumReliefLocal areaImmediate startShift work$16 per hour
...assigned by the Director of Nursing, Nurse Supervisor or Nurse Care Coordinator Attend all required in-services and follow all department... ...predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other...Part time$27.06 - $45.5 per hour
...The staff nurse uses the nursing process to provide patient care consistent with acceptable standards of the profession and Community... ...to adequately assess and reassess pain. Educates the patient and family regarding pain management. Demonstrates skills necessary to...Hourly payFull timeWork at officeShift work$16 per hour
...of the Nursing Home and the Nursing Department in performance of care as a member of the team. Provides care to residents assigned... ...understanding of working relationships when in contact with residents, families, visitors, Nursing personnel, Medical staff and other health...Part timeTraineeshipShift work$2,560 per week
...specialized areas such as Triage, Acute care, Super Track, Trauma, Clinical Decision Unit... ...Department setting. Manage and stabilize patients presenting with critical conditions... ...with multidisciplinary teams and patient families. Ability to perform effectively and maintain...Full timeContract workImmediate startShift workNight shiftWeekend work
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