Social Care Navigator - Broome

SCNs are responsible for screening Medicaid Members for unmet Health Related Social Needs (HRSNs) including Housing/Utility; Food Security; Transportation; Employment; Education, & Interpersonal Safety. SCNs are also responsible for screening Members for eligibility of community-based resources, State, &/or Federal resources. If Members qualify for any service meeting their HRSNs, SCNs are responsible for navigating & connecting Members with such resources. Once connected, SCNs are responsible for communicating with the Member to ensure Closed Loop Referrals have been completed to best meet Member needs.

• →Provide comprehensive Social Care Navigator (SCN) services, including screening & navigation services to eligible Medicaid Members via phone, in-person, & virtually.
• →Utilize the UniteUs Database in conjunction with the Accountable Health Communities (AHC) Health Related Social Needs (HRSN) Screening Tool to screen Medicaid Members with a variety of HRSNs.
• →Conduct Eligibility Assessments for eligible Medicaid Members whose initial screening identifies unmet HRSN needs.
• →Connect eligible Medicaid Members to services, care providers, & community resources to ensure their HRSNs are met.
• →Develop Social Care Plans for eligible Members, including a summary of needs, eligibility, individualized strategies, interventions & an up-to-date list of navigated resources &/or services.
• →Ensure Closed Loop Referrals by following up with eligible Medicaid Members within five business days after service completion to verify navigated resources were successful in meeting Member needs.
• →Ensure any eligible Member enrolled in a Children's Home program, as well as any eligible Member living in the same household, are reached for screening & navigation services.
• →Utilize Motivational Interviewing techniques to engage Members, providing the opportunity to speak openly, safely, & honestly communicate about their unmet needs.
• →Communicate with local, State, &/or Federal HRSN entities to form working relationships with providers & personnel; keeping up to date with navigation resources available to eligible Medicaid Members.
• →Hold an open & flexible schedule to provide SCN screening & navigation services as needed for Member accessibility & convenience, including evenings & weekends as needed.

• High School Diploma required
• Associate's Degree in health, human services, or related field preferred

• One year of work experience in healthcare, community-based services, &/or social welfare domains required
• In-depth knowledge of community-based, State, & Federal resources available to eligible Medicaid Members preferred
• Experience working with at-risk populations preferred
• Exemplary communication skills for effective interactions with agency staff, Medicaid Members, children, families, & the community
• Exemplary written & verbal communication skills
• Comfortability with heavy documentation
• Driver's License and ability to maintain insurability throughout employment required