Social Care Network Navigator/Screener

Overview

Seeking a Social Care Network Navigator/Screener to join our Buffalo Area Services Team

Our Full Time opportunities offer:

• Generous time off every year including 14 paid holidays, up to 3 personal days, vacation time, and sick time
• Employer funded Pension Plan (company contributions begin after 1 year of continuous employment)
• Comprehensive Health Care Coverage with low cost employee premiums, co-pays, and deductibles
• Company Paid Basic Term Life Insurance for Employee
• Long Term Disability Insurance
• Eligibility for supplemental insurance plans including Short Term Disability, AFLAC, and Voluntary Term Life
• Flexible Spending Account
• Eligibility for Federal Student Loan Forgiveness Program
• Tax Deferred Annuity (403B)
• Christmas Bonus

SCOPE AND PURPOSE OF POSITION:

The Salvation Army, Buffalo Area Services, located in Buffalo, NY, seeks a Social Care Network Navigator to

provide navigation, screening and referral services to all incoming BAS clients. This position will implement

and manage all aspects of the Family Resource Center and the involvement in the Waiver 1115 program

through the Western New York Integrative Care Collaborative (Social Care Network Lead Entity).

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Work with the Family Resource Center Director to understand current services and keep resource material up to date.
• Work with the Social Care Network (SCN) partners to obtain screening and referral opportunities.
• Identify potential participants by submitting a referral through the WNYICC portal to assess needs and eligibility.
• Cultivate independent community outreach to source referrals.
• Provide 1:1 screening to provide an empathetic and culturally competent assessment for social determinants of health needs to community members by telephone, virtually and/or in-person.
• Process screens and referral intake daily including calls with potential program participants, documentation, and insurance/eligibility verification.
• Manage incoming referrals received to ensure successful and timely connections are made between clients (community members) and the appropriate community partner.
• Creation of individualized Social Care Plan, to include but not limited to required consents, assessment results, goals, interventions, identified services/programs, selected providers and all actions taken with client.
• Routine follow-up with clients and maintenance of the client file.
• Creation of transition plan (disenrollment/change in SCN) as needed and in a timely manner.
• Maintain reporting requirements, data entry, evaluation forms, and other contract requirements.
• Ensure accurate data collection and data entry of participant information.
• Be knowledgeable of appropriate social care services to refer eligible participants that address the social factors impacting health, such as basic needs housing, employment, food and transportation.
• A minimum of 3 appropriate programming options and other resources as needed.
• Educate eligible referrals/participants in The Salvation Army services/programs, monitor participation and interest.
• Provide Home Finding, application submission, utility setup & assistance. Connection to resources aiding with housing cost and other expenses (i.e.: app fees assistance vouchers, transportation to interviews and unit tours).
• Review of potential living units to confirm the environment is move-in ready to ensure seamless transition into the community.
• Assistance to clients facing housing-related issues. Assistance addressing circumstances surrounding behaviors that jeopardize housing placements.
• All required/requested documentation must be on time (within 7 days of an event), clear and accurate. This includes completing case notes in, as well as completing notes in SCN IT platform.
• Meet requirement of minimum billable hours 180 for FTE.
• Attend WNY Integrated Care Screening/Navigation Workgroup.
• Passion for working with families, competency working with diverse cultural and ethnic populations.
• Strong written and oral skills, comfortable and confident conducting assessments and speaking to groups.
• Effectively build and maintain external and internal relationships and provide a high level of service.
• Comfortable working with at risk participants, including those with mental health diagnosis.
• Demonstrated capability to conduct oneself in a calm and professional manner when dealing with people and/or with difficult situations.

• Communicate with the supervising Director to maintain the dignity and safety of participants, facilitators and staff.
• Strong personal initiative to motivate participants.
• Strong communication skills to convey neutrality and supportiveness.
• Strong ability to multitask and meet deadlines.
• Confidence speaking during needs assessment consultations and in group settings.
• Other relevant duties as assigned by the Director of Social Services or the Executive Director.

Quality Assurance:

• Ensure all records are following expectations, regulations, and recommendations.
• Ensure that confidentiality is respected and maintained among all clients.
• Comply with federal, state, and local legal requirements related to resident population and operations.
• Work with state reviews, expectations, codes, and follow up.
• Monitor and ensure appropriate and timely documentation is completed.
• Ensure accurate data collection and data entry of participant information.
• Maintain reporting requirements, data entry, evaluation forms, and other contract requirements.
• Maintain operations by compliance with policies and procedures.
• Adhere to all aspects of the Salvation Army’s Employee Handbook.
• Assist in furthering the mission, policies and procedures of The Salvation Army.
• Perform all other duties as assigned by the Director of Services.

Qualifications

SPECIAL SKILLS, CERTIFICATES, LICENSES, REGISTRATIONS.

• Experience working with complex clients care services.
• Experience working in intake or case management.
• Experience enrolling Medicaid applicants a plus.
• Excellent written and oral communication skills.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Compensation: 25 to 25 (USD)