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Care Manager Navigator - Member Services Forward Leading IPA Rochester, NY Job Details Full-time $24 - $25 an hour 10 hours ago Benefits Health savings account Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Parental leave Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Bilingual Human Services Social Work Associate's degree Associate Degree in Nursing Full Job Description Ready to Make a Difference? If you're passionate about helping individuals overcome barriers to care and connecting them with the resources they need to thrive, we encourage you to apply today. Join FLIPA and become part of a mission-driven team dedicated to improving health outcomes and strengthening communities across Upstate New York.

Title:

Care Manager Navigator -

Member Services Location:

Hybrid (Periodic in-person meetings required) About Forward Leading IPA (FLIPA) Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers dedicated to improving healthcare outcomes for underserved populations across Upstate New York. Through integrated primary care, behavioral health, and social care services, FLIPA works collaboratively with healthcare providers and community organizations to address the whole-person needs of the communities we serve.

Position Summary:

The Care Manager Navigator is responsible for supporting members with social care needs through care coordination, resource navigation, and referral management. This role helps ensure members receive timely access to services, addresses barriers to care, and collaborates with healthcare and community partners to improve outcomes across FLIPA's Social Care Network. This position is funded through New York State's Social Care Network (SCN) Demonstration Waiver and is expected to continue throughout the duration of the waiver program. Ongoing employment is contingent upon continued waiver funding and program renewal.

Key Responsibilities:

Conduct member outreach, assessments, and ongoing care coordination. Develop and maintain individualized care plans. Coordinate and track referrals to healthcare providers and community resources. Monitor member engagement and address barriers to service access. Collaborate with internal teams, managed care organizations, providers, and community partners. Maintain accurate and timely documentation in required systems. Identify and escalate complex cases, compliance concerns, or service gaps. Support quality improvement initiatives and network-wide coordination efforts.

Qualifications Required:

Associate's degree in social work, Human Services, Public Health, Nursing, Psychology, or a related field, or Two (4) years of experience in care management, case management, care coordination, social services, or a related field. Strong communication, organizational, and documentation skills. Ability to manage multiple priorities while working collaboratively across teams.

Preferred:

Experience with Medicaid, managed care, healthcare, or social care programs. Familiarity with care management platforms and electronic documentation systems. Bilingual candidates are encouraged to apply.

Pay:

$24.00 - $25.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Vision insurance People with a criminal record are encouraged to apply Willingness to travel: 25% (Required)

Work Location:

Hybrid remote in Rochester, NY 14606