Overview • Support Medicaid members by connecting them to social and healthcare resources in a community-based, non-clinical role. • Conduct screenings and interviews to identify health-related social needs and coordinate referrals. • Document all activities accurately in required systems, ensuring compliance with organizational standards. • Work in a hybrid schedule, combining onsite, field, and remote work environments. • Provide outreach and follow-up to ensure services are received and barriers to care are resolved. • Collaborate with diverse populations, demonstrating cultural sensitivity and adaptability. • Contribute to the Social Care Network under the 1115 Medicaid Waiver program. • Participate in training and development to enhance skills and knowledge for effective service delivery. Key Responsibilities & Duties • Conduct screenings and interviews with Medicaid members to verify eligibility and obtain consent. • Connect members with community resources and social services to address health-related social needs. • Complete and manage referrals using Unite Us and other web-based systems. • Develop care plans and perform follow-ups to ensure services are received. • Monitor referral statuses and resolve barriers to care for members. • Perform outreach activities through phone, virtual meetings, or in-person visits. • Document all interactions and activities accurately, meeting productivity expectations. • Collaborate with team members and community partners to optimize service delivery. Job Requirements • High School Diploma or GED required; relevant experience preferred. • 1-2 years of experience in community health, patient navigation, or care coordination. • Strong computer skills, including proficiency in Microsoft Office and web-based systems. • Experience with Medicaid populations and Unite Us software is a plus. • Bilingual candidates and those with a valid driver’s license are strongly preferred. • Excellent communication, organizational, and time management skills. • Ability to work independently in both office and community settings. • Passion for helping underserved communities and culturally sensitive service delivery.