Senior Services Coordinator

Company Overview:Public Health Solutions (PHS) is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 200 organizations offering various programs – such as food, housing, employment, health insurance, and sexual health services – across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings. New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Queens, and Manhattan.This is a grant-funded position through March 31, 2027. This role will be a key part of Public Health Solutions’ sustainability planning efforts.Position Summary:The Senior Services Coordinator will serve as a key frontline staff member in a new Medicaid social services initiative designed to connect older adults with unmet health related social needs to community resources and supports. The Senior Services Coordinator will combine community engagement, service navigation, and evidence-based case management practices to help older adults with Medicaid achieve stability and self-sufficiency.This position requires both direct service experience and strong data and reporting skills. The Coordinator will not only deliver services but also contribute to the organization’s evaluation and sustainability efforts by tracking outcomes, identifying system gaps, and supporting continuous program improvement.This position is ideal for a passionate professional who is committed to health equity and believes that improving the lives of older adults begins with addressing the social drivers of health. The Senior Services Coordinator will embody Public Health Solutions’ mission and WholeYouNYC’s objectives to bridge the gap between healthcare and social care.Key Responsibilities:Program Delivery and Case ManagementConduct comprehensive assessments of older adults to identify unmet social needs (housing, food, transportation, safety, etc.).Apply a range of case management modalities — including behavioral interviewing, motivational interviewing, trauma-informed care, and strengths-based approaches — to engage older adults/care givers and set achievable goals.Develop common member journeys for older adults through providing individualized service navigation and follow-up support that ensures referrals result in meaningful connections and outcomes.Coordinate with social adult day cares, senior facilities, clinics, hospitals, and other community partners to facilitate referrals and ensure continuity of care.Maintain an active caseload of older adults and developing best practices for service delivery for other social care navigators.Community Outreach and EngagementParticipate in and help organize community outreach events in the community to identify and recruit older adults.Serve as a visible ambassador for WholeYouNYC’s mission and programs, cultivating trust and engagement among diverse communities.Collaborate with local partners to strengthen referral networks and identify service gaps in the community.Data Management, Reporting, and EvaluationAccurately document all intakes, referrals, and service connections in the organization’s case management database.Generate regular reports on caseload activity, service outcomes, and performance against program goals.Contribute data and insights for quarterly dashboards, mid-year progress reviews, and the final evaluation report.Support the mapping of member journey pathways by providing case data and insights into how older adults move through the service system.Participate in focus groups and continuous feedback sessions to improve service delivery and inform program replication.Collaboration and Continuous Improvement.Work closely with the Executive Director and program leadership to refine workflows and enhance program efficiency.Contribute to the organization’s learning culture by identifying best practices and sharing lessons learned with staff and partners.Support sustainability and replication efforts by providing stories, data, and evidence of impact for funder communications and policy briefs.Qualifications and ExperienceBachelor’s degree or equivalent; Master’s degree in Social Work, Public Health, Human Services, or a related field is a plus.Certification as a Community Health Worker (CHW), Case Manager (CCM), or Licensed Social Worker (LSW) strongly preferred.Minimum of 3–5 years of experience providing case management or service navigation to older adults and/or special needs populations.Experience working in community-based or health-related social services organizations.Proficiency in at least one evidence-based case management modality (behavioral interviewing, motivational interviewing, trauma-informed care).Demonstrated success managing data and outcomes through a case management system or database.Desired SkillsStrong interpersonal and communication skills, with an ability to engage and build trust with older adults and caregivers of diverse populations.Excellent organizational and time management skills, with the ability to manage multiple priorities and deadlines.Analytical ability to interpret data and contribute to program evaluation and reporting.Commitment to equity, inclusion, and culturally responsive service delivery.Flexibility, creativity, and a solutions-oriented mindset in a fast-paced environment.Bilingual preferred (Spanish).Success in this role will be measured by:Number of older adults successfully referred, engaged, and connected to services and stably maintained/supported in the community.Quality and timeliness of documentation and reporting.Contribution to program development and evaluation, including accuracy of data and participation in continuous improvement activities.Demonstrated collaboration with internal and external partners to strengthen service delivery and model development.Reports to: Director, Social Care Navigation | WholeYouNYCBenefits: • Hybrid Work Schedule. • Generous Paid Time Off and Holidays. • An attractive and comprehensive benefits package including Medical, Dental and Vision. • Flexible Spending Accounts and Commuter Benefits. • Company Paid Life Insurance and Disability Coverage. • 403(b) employer matching and discretionary company contributions. • College Savings Plan. • Ongoing trainings and continuous opportunities for professional growth and development.At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you!PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA individuals, and veterans.Monday to Friday 9:00am to 5:00pm35 Hours per week

Salary : $65,000 - $68,000