Social Care Navigator I (HYBRID)

RESPONSIBILITIES:

The responsibilities of the Social Care Navigator will include the following:

Essential Functions:

• Access Member through conducting Screenings to determine eligibility for Waiver services
• Educate clients, and community partners about 1115 Waiver benefits by participating in outreach initiatives to increase program awarenes.
• Work with Medicaid Members to connect them to the appropriate services to address their HRSNs that align with the Members’ preferences, limitations, disabilities, etc.
• Assist in providing outreach, eligibility assessment, referral management, care coordination, and education. 
• Assist in confirmation of assessments and members needs
• Assist with interviewing participants to obtain basic data, past medical history, and defers outocmes to more senior level navigators to determine income status/program eligibility. 
• Monitors and responds to communication(s) received from Members made via phone calls or from the Care Compass Collaborative website. 
• Assist in establishing relationships with community agencies, service providers, and stakeholders to stay informed about available resources and referral pathways. 
• Knowledgeable about community resources appropriate to the needs of participants/families and act as an advocate and liaison between the participant/family and community service agencies.
• May assume additional responsibilites, as required.
• MUST Maintain HIPAA compliance at all times.

MINIMUM REQUIREMENTS:

• Possession of a high school diploma or equivalent; AND two (2) years of work experience in the health care, community health, or social services field; OR two (2) years of college-level training in health occupations may substitute for one (1) year of work experience.
• Familiarity with the U.S. healthcare system and federally funded healthcare programs.
• Possesses strong communication skills (written and verbal)
• Proficient in planning & time management
• Ability to work independently with minimal supervision
• Utilizes critical thinking skills
• Possesses adaptability skills (both in attitude and action)
• Must have strong personal computer program skills including Microsoft Outlook, Microsoft Office (Word, Excel PowerPoint etc.)
• Facilitation of meetings either in person or via virtual platforms such as Zoom