Care Navigator (Community-Based & Field Navigation) - New York

The Care Navigator supports Medicaid members and other eligible populations participating in New York Social Care Network (SCN), 1115 Waiver, In Lieu of Services (ILOS), Value-Added Benefit (VAB), and related programs.

The role

helps individuals identify and address health-related social needs by connecting them with appropriate services and resources.

This position delivers person-centered, culturally responsive, and trauma-informed navigation through community-based, field, telephonic, and technology-enabled settings. The Care Navigator reports to the Care Navigation Program Manager and works in a New York-based hybrid role requiring regular local travel, with occasional travel within New York State.

The ideal candidate is equally comfortable engaging individuals at a busy community event, building relationships with partner organizations, and providing ongoing navigation support by phone. They are passionate about improving health equity, connecting people to critical services, and serving as a visible, trusted presence within the communities they support.

Hourly Range: $25-26/hour

NOTE: This is two openings for any posted location in New York. Please only apply for ONE position.

Responsibilities

include, but are not limited to

• Conduct standardized health-related social needs screenings in accordance with state and program requirements in community, partner organization, virtual, and telephonic settings

• Complete eligibility assessments and supporting documentation for social care services and enhanced navigation programs

• Provide in-person screening and navigation support at community events, health fairs, enrollment events, and outreach activities

• Build and maintain relationships with community-based organizations, healthcare providers, and local partners to increase awareness of available social care services

• Serve as an embedded Care Navigator within designated partner organizations, as assigned, providing on-site screening, referral coordination, and navigation services

• Initiate, monitor, and close referrals within designated referral management platforms

• Accurately document service activities, encounters, outcomes, and time spent in accordance with program billing and reporting requirement

• Perform closed-loop referral follow-up activities to confirm successful service connections and identify unresolved barriers

• Conduct outreach attempts and engagement activities in accordance with program timelines and documentation standards

• Educate individuals, caregivers, and community stakeholders regarding available benefits, community resources, and social care services

• Coordinate with healthcare providers, managed care organizations, community-based organizations, and other stakeholders to support continuity of care

• Represent the organization professionally in community settings and act as an ambassador for care navigation programs and services

• Escalate complex cases, urgent social needs, safety concerns, or barriers to supervisory or clinical staff as appropriate

• Maintain compliance with HIPAA, confidentiality requirements, and all applicable federal, state, and program regulations

• Meet productivity, quality, timeliness, documentation, and engagement standards established by the organization and program requirements

• Participate in ongoing training, workflow development, community engagement initiatives, and quality improvement activities

• Support reassessment, renewal, and recertification activities as required by program guidelines

Required Skills and Experience

• Minimum of 2 years’ experience in healthcare, social services, behavioral health, community outreach, case management, care coordination, human services, or a related field

• Experience engaging individuals from diverse communities and backgrounds with empathy, professionalism, and cultural humility

• Ability to build rapport quickly in both community-based and telephonic settings

• Experience conducting direct client interactions in-person, telephonically, or through community outreach activities

• Strong verbal, written, and interpersonal communication skills

• Ability to present information effectively to individuals, families, community partners, and stakeholders

• Strong organizational skills with the ability to manage multiple priorities, locations, and deadlines simultaneously

• Ability to maintain accurate and detailed documentation in compliance with regulatory and organizational requirements

• Proficiency with Microsoft Office applications and technology platforms used for documentation and referral management

• Ability to work independently, exercise sound judgment, and adapt to changing community and program needs

• Valid driver's license, reliable transportation, and ability to travel regularly throughout assigned service areas

• Ability to routinely use laptops, smartphones, and other mobile technology while working remotely and in the field

Preferred Skills and Experience

• Training or certification in Trauma-Informed Care, Motivational Interviewing, Crisis Intervention, and/or De-escalation Techniques

• Experience working within New York Medicaid, Social Care Network (SCN), Managed Care, 1115 Waiver, or Health Equity initiatives

• Experience providing care navigation, care management, community health worker services, outreach, health coaching, benefits navigation, or case management

• Experience conducting community outreach, tabling events, health fairs, enrollment events, or grassroots engagement activities

• Experience working with individuals experiencing food insecurity, housing instability, behavioral health conditions, substance use disorders, transportation barriers, justice involvement, or other social determinants of health

• Bilingual proficiency preferred, particularly Spanish, Mandarin, Cantonese, Russian, Bengali, Haitian Creole, Arabic, or other languages commonly spoken in New York communities

• Established knowledge of community resources and service networks wi