JobMesh

Social Care Navigators

CAIPA MSO · New York City, New York, US

Description The Social Care Navigator supports Medicaid members by identifying unmet health-related social needs - housing, food, and transportation to addre...

Job description

Description The Social Care Navigator supports Medicaid members by identifying unmet health-related social needs - housing, food, and transportation to address Health Related Social Needs (HSRN), determine eligibility for enhanced services under the NYS 1115 Medicaid Waiver, and provide person-centered navigation to community and clinical resources. The role strengthens the connection between healthcare and social care systems by coordinating referrals, reducing barriers, and ensuring continuity of support. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Conduct standardized social care screenings to identify needs related to housing, food access, transportation, safety, and other social determinants of health. · Complete eligibility assessments to determine whether members qualify for enhanced waiver services through the regional Social Care Network. · Provide navigation and care coordination, including warm hand-offs, follow-up, and ongoing support based on screening results and member goals. · Engage members by phone, in person, or via secure video to build rapport, understand needs, and support access to services. · Identify barriers related to health, housing, food insecurity, transp...