Community Health Care Navigator

Job Description

Job Description

Community Health Care Navigator

Department:

Health Care Navigation 

Reports To:

Community Health Care Navigator Manager

Location:

Manhattan, NY

Employment Type:

Full-Time 

About Us

Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 72,000 individuals annually. We do this through 101 programs across 138 sites, throughout New York City and Westchester. Our strong belief and commitment to diversity is shown not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve. Rising Ground is headquartered in New York City.

Overview

The Healthcare Navigator identifies and screens Medicaid members and connects them to appropriate resources aimed at improving their health and wellness. This compassionate, self-motivated, and dedicated member of the Healthcare Navigation team works on the new Social Care Network Initiative, which addresses health-related social needs (HRSN) across diverse communities.

Key Responsibilities

• Member Outreach and Screenings: Engage with Medicaid members, both in person and by phone, to conduct standardized screenings that identify social needs related to housing, food insecurity, transportation, utilities, and other key social determinants of health.
• Navigation and Referral Services: Based on the screening results, assess member eligibility for social care services and make appropriate referrals to community-based organizations (CBOs) and other local resources in NYC, with an emphasis on the Bronx. Use a designated IT platform, such as FindHelp, to manage and track all referrals.
• Case Management and Follow-Up: Monitor the status of referrals and follow up with members to ensure they successfully connect with and use the services. Provide ongoing support and advocacy to help members overcome barriers to care.
• Data Management and Documentation: Maintain detailed and accurate records of all member interactions, assessments, and referrals in compliance with program and regulatory requirements. Ensure all data is entered correctly into the designated electronic platform.
• Collaboration and Community Engagement: Work closely with an interdisciplinary team, including medical and behavioral health providers, to coordinate care. Build and maintain strong relationships with CBOs and other social service agencies in the Bronx to expand the network of available resources. Attend internal and external meetings and outreach events.
• Member Education: Educate members on the purpose of social care screenings, the services available to them, and how to access and manage these resources. Empower members to be active participants in their own care.

Other related duties as assigned by supervisor. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Qualifications

• High School Diploma
• Previous experience working with Medicaid populations and a strong understanding of the social determinants of health are essential.
• Compassionate, empathetic, and patient-centered, with the ability to handle sensitive information and maintain confidentiality.
• Bachelor's Degree & Knowledge of the Child Welfare System
• Bilingual (English/Spanish) 

Work Environment

• Field
• Corporate Office
• Clinic

Position Type/Expected Hours of Work

This is a full- time position. Days and hours of work are Monday through Friday in Brooklyn or Bronx. Work hours options are 9:00 am - 5:00 pm, 9:30 am – 5:30 pm and 10:00 am – 6:00 pm.

Benefits & Compensation

• Competitive salary structure
• Health, dental, and vision insurance
• 401(k) with company match 
• PTO policy (11 Paid Holidays, Paid Sick Time, Paid Vacation & Paid Personal Days)
• Remote / flexible work options

Additional Requirements

• Authorized to work in the U.S.
• Ability to work in-person in New York City (NYC)
• Ability to travel to other Rising Ground Sites (if required)

Equal Employment Opportunity

It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment