Social Care Network Screener/Navigator

About the role

The Social Care Network Screener/Navigator plays a critical role in supporting individuals with health-related social needs by conducting screenings, assessing eligibility for services, and connecting participants to community-based supports through the Social Care Network (SCN).

This position works directly with Medicaid populations in hospital and community settings to identify barriers impacting health and well-being and ensure individuals are connected to appropriate services and resources. The Screener/Navigator serves as a compassionate advocate and resource connector while maintaining accurate documentation and collaborating closely with internal and external partners to enhance service delivery and participant outcomes.

Responsibilities

• Conduct Initial Screening, Benefits Eligibility Assessment and Contracted Services.
• Monitor Email regularly for UniteUs alerts from UniteUs and/or Program Manager.
• Accept referrals on the UniteUs Platform and complete the Outreaches.
• Conduct outreach to Medicaid populations residing in the SCN’s region and utilize a standardized screening tool to assess their health-related social needs.
• Conduct Screenings, Navigation and Contracted Services from the Emergency Department at St. Lukes Montefiore in Newburgh on a rotating basis 2-3 days a week and in other community settings as needed.
• Assess client eligibility for a range of services and refer to appropriate community-based social supports.
• Leverage your social services experience and expertise to determine the most suitable resources and service providers for clients based on their needs, eligibility and preferences.
• Develop and maintain an in-depth knowledge and understanding of the range of services (including eligibility criteria) available in both the SCN and existing local social services infrastructure.
• Follow-up with clients to confirm health-related social needs have been addressed.
• Carefully document outreach, screening, and referrals in the SCN data platform and Foothold.
• Work closely with Program Manager to support the development and revising screening and navigation workflows and implementing process improvements that enhance SCN effectiveness.
• Identify and prepare monthly participant success stories to demonstrate SCN impact and promote the network.
• Complete all reporting and record keeping as required.
• Attend and actively participate in all meetings and training sessions provided by the SCN network and/or agency.
• Perform other duties as assigned or required to support program operations

Requirements

• Must complete approved HVCC screening and Navigating training programs within the first week of employment.
• Must successfully complete all required hospital onboarding requirements, including medical clearances, trainings, and any additional compliance requirements necessary to provide services within hospital settings.
• Demonstrated ability to recognize the need for and facilitate connections between consumers and ILI and other disability related services.
• Knowledge of local, statewide and national disability related issues and community dynamics.
• Excellent written and verbal presentation skills.
• Strong communication and interpersonal skills with the ability to engage diverse populations.
• Must have good time management skills and be self-directing, especially if there is any downtime.
• Basic computer proficiency and ability to navigate electronic platforms and databases.
• Must possess an unrestricted valid driver’s license and have reliable transportation.

Qualifications

• High School Diploma/GED preferred.
• Bi-lingual (English/Spanish) preferred.
• Experience working within social services, healthcare navigation, care coordination, or community outreach programs.
• Familiarity with UniteUs, Foothold, or similar case management and referral systems.
• Knowledge of Medicaid populations and health-related social needs initiatives.
• Experience working in hospital, community-based, or human services settings.
• Ability to build strong relationships with community providers and service partners.

Skills

• Excellent written and verbal presentation skills.
• Strong communication and interpersonal skills with the ability to engage diverse populations.
• Good time management skills and self-directing.
• Basic computer proficiency and ability to navigate electronic platforms and databases.
• Unrestricted valid driver’s license and reliable transportation.

Benefits

• Paid holidays from the first day of employment.
• Paid lunch break.
• Paid time off.
• 401(k) with company match.
• Health, Dental and Vision insurance.
• Flexible Spending Accounts (FSA).
• Company provided Life, AD&D and Short- and Long-Term disability insurance.
• Voluntary insurances including Critical Illness and Hospital Indemnity.