Job Description
Job Description
Spectrum Health & Human Services
Agency Profile: Spectrum Health & Human Services respectfully partners with adults, children, and families as they recover from behavioral, emotional, mental health and/or substance related disorders by offering individualized and meaningful opportunities of hope, empowerment and support to achieve self-defined improvements in their quality of life.
1298 Main Street, Buffalo, NY
SUMMARY OF POSITION FUNCTION:
The Social Care Network Navigator supports individuals in identifying, accessing, and coordinating non-clinical social care needs within the Social Care Network Continuum, including housing, nutrition, transportation and social care management. The SCN Navigator assesses eligibility through standardized screenings, determines eligibility for SCN enhanced services, facilitates referrals, and documents service coordination activities in accordance with the Social Care Network Service Contract.
MAJOR DUTIES AND RESPONSIBILITIES:
Screening & Eligibility
- Conduct standardized screening for unmet social needs utilizing the Accountable Health Communities HRSN screening tool.
- Assess eligibility for Social Care Network Enhanced Services related to Nutrition, housing, social care management and transportation.
Navigation & Referral
- Receive, prioritize, monitor and triage screenings/referrals that may require connection across multiple community-based organizations/programming.
- Make appropriate referrals to a network of community-based organizations and services provider that can address the identified goals.
- Advocate for individuals facing difficulties assessing services and coordinating social services with their medical treatment plans.
Care Coordination & Engagement
- Conduct outreach and engagement activities to assess on-going emerging needs and to promote continuity of care and improved health outcomes.
- Collaborate with program participants to ensure their needs are being met and are benefiting from the program.
Documentation & Data
- Maintain complete, current and accurate member files which comply with agency standards.
- Documents all member related activity in a progress note by the conclusion of the next business day.
- Completes all required documentation in the Find Help Application.
- Responsible for data entry/tracking systems to ensure data is accurate and precise.
Community Partnerships
- Identify and maintain working relationships with nutritional programs/services such as food pantries, home-delivery, and resources that offer education, training and supplies
- Network with social care services to enhance services in education, childcare, interpersonal violence resources, etc.
- Ability to build and maintain interpersonal relationships while demonstrating ethical behavior/decision making and active listening skills.
- Responsible for effectively communicating with participants/referral sources and community-based programs.
Other Responsibilities
- Responds to and manages crisis or emergency situations that may arise in a timely manner.
- Other duties as requested.
SKILLS/COMPETENCIES:
- Understanding of social determinants of health (SDOH)
- Ability to work independently
- Ability to work with diverse populations
- Effective verbal and written communication skills
- Ability to teach and influence others
- Demonstrated ability to work effectively in a team environment.
- Demonstrated effective inter personal relationships and customer service skills
- Good organizational and time management skills
- Ability to work effectively with people from diverse cultures and socioeconomic conditions.
- Actively listens to others to understand their perspective and ensure understanding regardless of barriers.
- Critical thinking ability
- Ability to handle protected health information (PHI) in a manner consistent with The Health Insurance Portability and Accountability Act of 1996.
- Knowledge of computerized systems.
- Knowledge of local and surrounding area resources
EDUCATION REQUIREMENTS:
- Bachelor’s or Master’s degree in a Human Services–related field and at least three (3) years of relevant human services experience OR a minimum of three (3) years of experience as a Care Coordinator I with a record of satisfactory or higher performance.
EXPERIENCE:
- * “Qualifying Experience” means verifiable full or part-time experience in care coordination with the following populations: person with a chronic illness, and/or persons with a history of mental illness
OTHER:
- Must possess a valid Driver’s License with a satisfactory driving record, and possess a personal vehicle for job requirement
COMPENSATION: $22-$24/hourly