CAIPA MSO
Health-Related Social Needs (HRSN) Coordinator
Description:
As part of New York State’s 1115 Medicaid Waiver initiative, the HRSN Screener/Navigator plays a pivotal role in addressing social determinants of health. This position involves conducting standardized screenings to identify unmet health-related social needs among Medicaid members and facilitating connections to appropriate services. The goal is to enhance health equity and improve outcomes by integrating social care into the healthcare delivery system.
Location:
New York City (Brooklyn, Queens, Manhattan)
Employment Type:
Full-Time (2 positions open)
Start Date:
August 1, 2025
Compensation:
$45,000 - $48,000, grant-funded, with the possibility of becoming permanent staff after the grant concludes in March 2027.
Key Responsibilities
Administer the Accountable Health Communities (AHC) screening tool to assess members' health-related social needs.
Evaluate eligibility for enhanced HRSN services based on screening results and established criteria.
Navigate members to appropriate services, including housing support, nutrition assistance, transportation, and care management.
Utilize closed-loop referral systems to ensure successful service connections and follow-ups.
Collaborate with healthcare providers, community-based organizations (CBOs), and other stakeholders to coordinate care.
Maintain accurate and timely documentation of all interactions, assessments, and referrals in compliance with program standards.
Participate in ongoing training and professional development opportunities related to HRSN and social care navigation.
Requirements
Education:
An associate’s degree in health, social services, or a related field is preferred. Equivalent work experience may be considered.
Experience:
Experience working with diverse populations, including underserved and immigrant communities.
Skills:
Strong understanding of health equity and social determinants of health; excellent communication and interpersonal skills; proficiency in using referral platforms; ability to work independently and as part of a multidisciplinary team; bilingual abilities (e.g., Chinese) are highly desirable; knowledge of community resources and social service programs in New York City.
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As part of New York State’s 1115 Medicaid Waiver initiative, the HRSN Screener/Navigator plays a pivotal role in addressing social determinants of health. This position involves conducting standardized screenings to identify unmet health-related social needs among Medicaid members and facilitating connections to appropriate services. The goal is to enhance health equity and improve outcomes by integrating social care into the healthcare delivery system.
Location:
New York City (Brooklyn, Queens, Manhattan)
Employment Type:
Full-Time (2 positions open)
Start Date:
August 1, 2025
Compensation:
$45,000 - $48,000, grant-funded, with the possibility of becoming permanent staff after the grant concludes in March 2027.
Key Responsibilities
Administer the Accountable Health Communities (AHC) screening tool to assess members' health-related social needs.
Evaluate eligibility for enhanced HRSN services based on screening results and established criteria.
Navigate members to appropriate services, including housing support, nutrition assistance, transportation, and care management.
Utilize closed-loop referral systems to ensure successful service connections and follow-ups.
Collaborate with healthcare providers, community-based organizations (CBOs), and other stakeholders to coordinate care.
Maintain accurate and timely documentation of all interactions, assessments, and referrals in compliance with program standards.
Participate in ongoing training and professional development opportunities related to HRSN and social care navigation.
Requirements
Education:
An associate’s degree in health, social services, or a related field is preferred. Equivalent work experience may be considered.
Experience:
Experience working with diverse populations, including underserved and immigrant communities.
Skills:
Strong understanding of health equity and social determinants of health; excellent communication and interpersonal skills; proficiency in using referral platforms; ability to work independently and as part of a multidisciplinary team; bilingual abilities (e.g., Chinese) are highly desirable; knowledge of community resources and social service programs in New York City.
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