Social Care Navigator — Field-; Bilingual Spanish

Overview

About NYREACH

NYREACH (New York Research, Education, and Community Health) is an independent 501(c)(3) nonprofit dedicated to advancing health equity through education, community-based programs, and direct service delivery for some of the Bronx's most vulnerable and underserved residents.

For over five years, NYREACH has been a trusted resource in Bronx County. Through the New York State Social Care Network, our team has conducted health-related social needs (HRSN) screenings and provided services through home-delivered meals and community programs. We deliver every service in a culturally competent, linguistically appropriate, and disability-accessible manner, with Spanish-fluent staff embedded in the communities we serve.

Our team of full-time staff and active community volunteers—including International Medical Graduates and community health workers—partners with local clinics and community organizations to meet residents where they are. We're looking for talented, motivated individuals to join our growing team and help keep Bronx families continuously covered and connected to care.

This position is ideal for individuals who want to make a meaningful impact by keeping vulnerable New Yorkers continuously insured. You'll be part of a community-rooted nonprofit with a proven track record of serving the Bronx, working alongside a team committed to health equity, with real opportunities to grow.

Position Title: Social Care Navigator I — Field-Based (Bilingual Spanish)

Reports to: Manager, NYREACH

Location: 2021 Grand Concourse, Bronx, NY 10453 (Field-Based)

Classification
:
Full-Time | Non-Exempt

Schedule
:
Monday-Friday, 9:00 AM – 5:00 PM (one weekend day per month may be required)

POSITION SUMMARY: The Social Care Navigator I (SCN) is the front line of NYREACH's Social Care Network, connecting Medicaid members to the social care services they need to thrive. The SCN conducts outreach, screens members for health-related social needs (HRSN) — including housing, food insecurity, transportation, and interpersonal safety — assesses eligibility for enhanced HRSN services, and provides hands‑on navigation and closed‑loop referrals to community-based resources.

The SCN builds trusted relationships with members and follows each referral through to completion, ensuring members do not fall through the cracks between screening and service delivery.

In addition to core screening and navigation responsibilities, this SCN position carries a special focus on nutritional health, supporting members in accessing healthy food resources and nutrition-related services. Ideal candidates possess strong communication and interpersonal skills, a passion for helping others, deep familiarity with community resources, and experience in social services, community health, or care navigation.

KEY RESPONSIBILITIES

HRSN Screening & Eligibility Assessment

• Conduct proactive outreach to Medicaid members telephonically, in person, and in community settings to engage them in social care services.
• Administer HRSN screenings to identify unmet social needs across domains including housing stability, food insecurity, transportation, and interpersonal safety.
• Assess and document member eligibility for enhanced HRSN services in accordance with Social Care Network protocols.
• Build rapport and trust with members, meeting them where they are and applying a person-centered, trauma-informed approach.

Navigation & Closed-Loop Referrals

• Connect members with appropriate community resources, including social service agencies, community-based organizations, healthcare providers, and government benefit programs.
• Facilitate referrals to social care services, track each referral through to completion, and follow up with members and providers to confirm needs were addressed (closed-loop referral management).
• Provide ongoing navigation support to members with complex or multiple needs, escalating and re-referring as circumstances change.
• Collaborate with team members, partner-based navigators/CHWs, and community partners to coordinate care for members with complex needs and ensure seamless service delivery.
• Documentation & Community…