Social Care Screener

Primary Duties & Essential Functions

• Engage Medicaid members in person, telephonically, or virtually to discuss screening, complete screening and determine eligibility to address health-related social needs using a person-centered, culturally responsive, and trauma-informed approach.
• Confirm eligibility for services, utilizing Epaces to ensure insurance is active and billable.
• Cookordination screening and eligibility assessment with the individuals and document status of completion of to meet health-related social needs, including but not limited to housing instability, food insecurity, transportation barriers, utility needs, and interpersonal safety.
• Ensure all documentation supports service verification, encounter reporting, utilization review, and audit validation.
• Complete NY1115 - AHC Screening.
• Complete Eligibility Assessment, confirm eligibility. If eligible, open Social Service Case Management refer to Social Care Navigator and create service note for work completed for billing.
• Work closely with Social Care Navigator and Assistant Director regarding status of referrals, service plans, billing, etc.
• Collaborate with care managers, peer advocates, and clinical teams to support integrated care planning and continuity of care.
• Maintain confidentiality and comply with HIPAA, Medicaid, and DOH data privacy and security requirements.
• Attend required training related to DOH guidance, waiver updates, reporting requirements, and program compliance.
• Participate in supervision, team meetings, and case conferences as required.
• Perform other duties as assigned in support of DOH and 1115 Waiver program objectives.
• Meet billables weekly to ensure viability of program (5 screenings and assessments daily).

Required Education, Knowledge, And Skills

• Associate’s degree in human services, public health, social work, or related field, bachelor's degree preferred.
• Experience in case coordination, care navigation, outreach, or direct service provision with Medicaid or underserved populations.
• Knowledge of SDOH/HRSN concepts and community-based service systems.
• Demonstrated ability to maintain accurate, timely, and compliant records.
• Proficiency with electronic health records and/or DOH-aligned reporting systems.
• Strong organizational, communication, and interpersonal skills.

Preferred Qualifications

• Experience with NYS DOH programs, Health Homes, Managed Care, PPS initiatives, or 1115 Waiver services.
• Familiarity with DOH guidance, Medicaid documentation standards, and audit processes.
• Experience using referral tracking platforms or community resource databases.
• Bilingual or multilingual proficiency.