Care Navigator

New York, United StatesOn-site

Responsibilities

Manage an active caseload of patients developing and maintaining individualized care plans; providing consistent emotional support and encouragement, recognizing that practical barriers and emotional ones often show up together - especially for patients navigating recovery
Build relationships with community-based organizations and providers in the region
Document your work in the EMR as you go — activity, resource decisions, status changes, and next steps — so the clinical team always has the full picture
Collaborate with providers through shared patient records, escalating clinical concerns, safety issues, and urgent needs to the appropriate clinical team member promptly and with the right context

We’re looking for an experienced Care Navigator to join our virtual program serving patients in Pennsylvania, New Jersey, New York, and Delaware (with more to come!).
The program primarily serves patients in our Centers of Excellence (CoE) in Pennsylvania, and. navigation happens virtually — primarily over SMS, with phone, and zoom as needed.
Maintain current knowledge of resources, programs, and eligibility rules across PA, NJ, NY, and DE
experience with SDOH navigation — housing, transportation, food access, behavioral health, benefits enrollment
Working knowledge of community resources, programs, and systems in PA, NJ, NY, and/or DE
Proficient and comfortable using EMR or care management platforms as primary daily tools, with strong overall tech savviness
Ability to independently manage a caseload, prioritize across competing needs, and track cases through to resolution
High school diploma or GED required; associate’s or bachelor’s in social work, public health, or human services preferred
Demonstrated ability to work with diverse patient populations with cultural humility — adapting communication and approaches to align with each patient's background, values, and circumstances Strongly Preferred •
Experience in a Center of Excellence or specialty care program serving patients with complex, co-occurring needs
Familiarity with Medicaid populations and managed care requirements in NJ or PA •
CHW certification or equivalent credential