Healthy Alliance
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Healthy Alliance seeks a dedicated Social Care Navigator to conduct health and social needs screenings, eligibility assessments, and navigation for Medicaid Fee-for-Service and non‑eligible Managed Medicaid members. The work is centered in the Capital Region. Life at Healthy Alliance
Our purpose is to improve health and empower the underserved. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations of all sizes to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy. As the designated Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health‑Related Social Needs (HRSN) Program, we are responsible for ensuring a seamless, consistent end‑to‑end process for HRSN screening, navigation, and delivery of services to thousands of Medicaid members. This transformative program further sustains our mission of advancing health equity within historically marginalized communities. Healthy Alliance is a 2019‑2024 Albany Business Review Best Places to Work and a 2021‑2024 Modern Healthcare Best Places to Work in Healthcare award recipient. We build a culture of autonomy, mastery, and purpose, celebrating diverse strengths and perspectives while grounded in our core values. Full‑time Description
Full‑time Social Care Navigator position with a focus on Medicaid Fee‑for‑Service and Managed Medicaid members. Benefits
Competitive compensation package Comprehensive insurance benefits available the 1st of the month after hire, including medical, dental, vision, group short‑term disability, life insurance with buy‑up options, flexible spending and HSA company‑contributed accounts, and more 401K with a company match Unlimited paid time off after 90 days of employment Company‑sponsored training and certification opportunities Remote employer with flexible work schedules Workplace that values safety, respect, employee engagement, recognition, and diversity Salary range: $51,650‑$59,398 per year, commensurate with experience Who You Are
The Social Care Navigator is responsible for conducting HRSN screenings, eligibility assessments, and navigation activities for Medicaid Fee‑for‑Service and non‑eligible Managed Medicaid members. We are looking for someone in the Capital Region. What You’ll Do
Manage incoming referrals for screening and navigation to ensure successful and timely connections for community members. Assign Members already connected to an established contracted care team to their SCN‑designated screener and/or Social Care Navigator to conduct screening and navigation activities, fostering continuity with existing contracted care teams. For those Members not engaged, conduct and document outreach in alignment with required frequency, modality, and timeframe. Manage Member consent and attestation as required throughout the engagement. Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess member HRSNs. Conduct eligibility assessments to determine Member eligibility for enhanced HRSN services and refer Members to eligible programs and services, including enhanced HRSN services and/or existing federal, state, and local resources. Maintain effective communication with internal team members, community members, and partner organizations to ensure acceptance, resolution, or redirection of referral requests. Document progress notes and actions taken with each referral as detailed in the Network Standards and Quality Program. Regularly use data and data tools to report referral patterns and trends to the Referral Coordination Manager. Requirements
Education
Associate degree in health, social services, or a related field preferred. Equivalent work experience in a related field may be considered in lieu of degree requirements. Professional Work Experience
Minimum of 5+ years related experience in a clinical, non‑profit, or Managed‑Care Organization (MCO) environment preferred. Knowledge, Skills, and Abilities
Extensive knowledge and understanding of health equity, social drivers of health, and social care data. Excellent communication and presentation skills. Experience using translation services preferred. Ability to build collaborative working relationships with others inside and outside the organization through cooperation and mutual respect; capacity to inspire and motivate others. Thrive working with multiple systems and processes. Demonstrate ability to use various technology platforms to ensure successful and timely referral connections are made. Extremely detail‑oriented and capable of multitasking. Proven record of hitting key metrics, defining effective data‑driven network development strategies, and problem‑solving. Proficient computer skills and willingness to learn additional software applications. Demonstrated ability to thrive in a demanding environment. Performs all work in accordance with Healthy Alliance core competencies and values. Effectively work in a hybrid work environment. Some local travel may be required for meetings, community events, and other job‑related responsibilities. Demonstrate commitment to the values of diversity, equity, and inclusion. Equal Opportunity Employer
Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre‑employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hr@healthyalliance.org. Privacy Requirement
This job function involves potential access and interaction with protected health information. The position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Salary Description
$51,650 – $59,398 per year
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Healthy Alliance seeks a dedicated Social Care Navigator to conduct health and social needs screenings, eligibility assessments, and navigation for Medicaid Fee-for-Service and non‑eligible Managed Medicaid members. The work is centered in the Capital Region. Life at Healthy Alliance
Our purpose is to improve health and empower the underserved. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations of all sizes to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy. As the designated Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health‑Related Social Needs (HRSN) Program, we are responsible for ensuring a seamless, consistent end‑to‑end process for HRSN screening, navigation, and delivery of services to thousands of Medicaid members. This transformative program further sustains our mission of advancing health equity within historically marginalized communities. Healthy Alliance is a 2019‑2024 Albany Business Review Best Places to Work and a 2021‑2024 Modern Healthcare Best Places to Work in Healthcare award recipient. We build a culture of autonomy, mastery, and purpose, celebrating diverse strengths and perspectives while grounded in our core values. Full‑time Description
Full‑time Social Care Navigator position with a focus on Medicaid Fee‑for‑Service and Managed Medicaid members. Benefits
Competitive compensation package Comprehensive insurance benefits available the 1st of the month after hire, including medical, dental, vision, group short‑term disability, life insurance with buy‑up options, flexible spending and HSA company‑contributed accounts, and more 401K with a company match Unlimited paid time off after 90 days of employment Company‑sponsored training and certification opportunities Remote employer with flexible work schedules Workplace that values safety, respect, employee engagement, recognition, and diversity Salary range: $51,650‑$59,398 per year, commensurate with experience Who You Are
The Social Care Navigator is responsible for conducting HRSN screenings, eligibility assessments, and navigation activities for Medicaid Fee‑for‑Service and non‑eligible Managed Medicaid members. We are looking for someone in the Capital Region. What You’ll Do
Manage incoming referrals for screening and navigation to ensure successful and timely connections for community members. Assign Members already connected to an established contracted care team to their SCN‑designated screener and/or Social Care Navigator to conduct screening and navigation activities, fostering continuity with existing contracted care teams. For those Members not engaged, conduct and document outreach in alignment with required frequency, modality, and timeframe. Manage Member consent and attestation as required throughout the engagement. Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess member HRSNs. Conduct eligibility assessments to determine Member eligibility for enhanced HRSN services and refer Members to eligible programs and services, including enhanced HRSN services and/or existing federal, state, and local resources. Maintain effective communication with internal team members, community members, and partner organizations to ensure acceptance, resolution, or redirection of referral requests. Document progress notes and actions taken with each referral as detailed in the Network Standards and Quality Program. Regularly use data and data tools to report referral patterns and trends to the Referral Coordination Manager. Requirements
Education
Associate degree in health, social services, or a related field preferred. Equivalent work experience in a related field may be considered in lieu of degree requirements. Professional Work Experience
Minimum of 5+ years related experience in a clinical, non‑profit, or Managed‑Care Organization (MCO) environment preferred. Knowledge, Skills, and Abilities
Extensive knowledge and understanding of health equity, social drivers of health, and social care data. Excellent communication and presentation skills. Experience using translation services preferred. Ability to build collaborative working relationships with others inside and outside the organization through cooperation and mutual respect; capacity to inspire and motivate others. Thrive working with multiple systems and processes. Demonstrate ability to use various technology platforms to ensure successful and timely referral connections are made. Extremely detail‑oriented and capable of multitasking. Proven record of hitting key metrics, defining effective data‑driven network development strategies, and problem‑solving. Proficient computer skills and willingness to learn additional software applications. Demonstrated ability to thrive in a demanding environment. Performs all work in accordance with Healthy Alliance core competencies and values. Effectively work in a hybrid work environment. Some local travel may be required for meetings, community events, and other job‑related responsibilities. Demonstrate commitment to the values of diversity, equity, and inclusion. Equal Opportunity Employer
Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre‑employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hr@healthyalliance.org. Privacy Requirement
This job function involves potential access and interaction with protected health information. The position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Salary Description
$51,650 – $59,398 per year
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