Summary: The NYS 1115 Program Navigator plays a key role in helping New Yorkers understand access and
utilize services available through New York States 1115 Medicaid Waiver program. This position provides
outreach education enrollment assistance care coordination support and linkage to community-based and
clinical services that address health-related social needs (HRSN) improve health outcomes and promote health
equity.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Conduct community outreach to raise awareness about services available under the NYS 1115
Medicaid Waiver.
Engage individuals families and community organizations to promote participation in
eligible programs.
Assist individuals in understanding eligibility criteria and screening potential applicants for the
1115 Waiver program.
Support clients by completing enrollment applications and gathering required documentation.
Assess clients needs related to medical behavioral health and social care (e.g. housing food
access transportation) and connect clients to appropriate clinical providers health plans and
community support.
Coordinate follow-ups with clients and/or resources providers to ensure clients receive
scheduled services and resolve barriers.
Maintain accurate case records and client progress notes in various databases
Participate in training and meetings as required
Qualifications
Education and/or experience required:
Bachelors degree requires 3-5 years of experience in a social service agency providing case
management support
Skills Licenses and/or competencies required:
Experience in community outreach case management social services or healthcare navigation.
Knowledge of Medicaid social service systems or community resources.
.
Strong communication interpersonal and problem-solving skills.
Ability to work with diverse populations
Proficiency with computers and electronic documentation systems.
Familiarity with NYS Medicaid managed care and waiver programs.
Experience working with individuals experiencing housing and food insecurity behavioral health
needs or chronic conditions.
Bilingual required
Position Type and Expected Hours of Work:
This is a full-time position. Days and hours of work are generally 9:00 AM to 5 PM Monday -Friday.
Additional hours may be required to meet program deadlines or client needs. There may be periods when work hours vary
Working conditions and physical demands required:
The demands described here are representative of those that must be met by an employee to successfully
perform the essential functions of this job.
Ability to travel and conduct outreach and various meetings/events throughout the Bronx.
Work with clients who require consistent and comprehensive support some under potentially stressful
conditions.
Required Experience:
Manager
Our success is rooted in a candidate-centric & solutions-focused approach. We have delivered quality-driven staffing to companies throughout the tri-states