Social Care Navigator

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.

We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. Learn more about our work .

PHS administers Whole

YouNYC (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 100 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, Manhattan, and Queens.

This is a grant-funded position ending July 31, 2026.

Position Summary:

We seek an experienced Social Care Navigator to connect vulnerable Medicaid populations living in New York City to needed community-based social supports using an online referral technology platform to track and "close the loop" on referrals. The Social Care Navigator will be responsible for engaging Medicaid members to assess their health-related social needs, confirming eligibility for SCN services and facilitating navigation to needed social supports (prioritizing food, housing and transportation services);

all while ensuring access to effective, culturally and linguistically tailored community resources.

The Social Care Navigator works independently, but under the supervision of the Social Care Navigator Supervisor. The Navigator will also work closely with SCN clients, community-based partners, other members of the Whole

YouNYC and Healthcare-Community Partnerships teams to navigate clients to care, share experiences / best practices and troubleshoot issues.

Specifically, the Social Care Navigator will:

* Conduct outreach to Medicaid populations residing in the SCN's region (Brooklyn, Manhattan, Queens) and utilize a standardized screening tool to assess their health-related social needs.

* Assess client eligibility for a range of services and refer to appropriate community-based social supports.

* Leverage your social services experience and expertise to determine the most suitable resources and service providers for clients based on their needs, eligibility and preferences.

* Develop and maintain an in-depth knowledge and understanding of the range of services (including eligibility criteria) available in both the SCN and existing local social services infrastructure.

* Follow-up with clients to confirm health-related social needs have been addressed.

* Receive training on the SCN data and IT platform and navigate the workflow efficiently to screen and refer Medicaid populations to SCN services.

* Carefully document outreach, screening, and referrals in the SCN data and IT platform, following defined network policies and procedures.

* Inform SCN learnings based on client experiences and insight about Medicaid population needs.

* Provide feedback on workflows and assist with troubleshooting to improve SCN effectiveness.

* Participate in network partner engagement meetings, staff / team meetings, mentoring meetings, planning meetings and others, as requested.

* Work closely with Navigator Supervisor to support the team in developing / revising screening and navigation workflows and implementing process improvements that enhance SCN effectiveness.

* Identify and prepare participant success stories to demonstrate SCN impact and promote the network.

* Provide support for team training and productivity reporting, as requested by the Navigator Supervisor.

* Other duties as requested by the Navigator Supervisor.

Qualifications and

Experience:

* 1-2 years' experience working in a care navigation / coordination / intake capacity, specifically within the human services sector and/or…