Social Care Network Screener & Navigator

YMCA OF ITHACA AND TOMPKINS COUNTY JOB DESCRIPTION

Job Title:

Social Care Network Screener & Navigator Position Status:

Full-Time FLSA Status:

Non-Exempt Salary Range:

$17.50-19.00/hr Reports to:

Community Health Director Revision Date:

11/11/2025

Primary Department:

Community Health

POSITION SUMMARY

The YMCA of Ithaca & Tompkins County is seeking a dedicated and compassionate Mobile Screener/Navigator to support our participation in the New York State 1115 Medicaid Waiver Social Care Network (SCN). The Screener/Navigator will serve as the first point of contact for eligible Medicaid participants by screening and referring them to Health Related Social Needs (HRSN) services. This role is responsible for screening individuals for social needs, providing culturally competent guidance, and facilitating referrals to internal and external service providers using approved SCN platforms. This position will be highly mobile, using the Ithaca YMCA as a base of operations, but will frequently be using our mobile food pantry to interact with participants in the rural areas of the Tompkins County. Please note that this role is supported by grant funding. As the grant period concludes, the YMCA will assess organizational needs, sustainability, and individual performance to explore potential opportunities for continued employment.

OUR CULTURE

Our mission and core values are brought to life by our culture. In the Y, we strive to live our cause of strengthening communities with purpose and intentionality every day.

We are welcoming:

we are open to all. We are a place where you can belong and become.

We are genuine:

we value you and embrace your individuality.

We are hopeful:

we believe in you and your potential to become a catalyst in the world.

We are nurturing:

we support you in your journey to develop your full potential.

We are determined:

above all else, we are on a relentless quest to make our community stronger beginning with you.

ESSENTIAL FUNCTIONS

1. Conduct standardized in-person HRSN screenings. 2. Engage with referred Medicaid participants in a respectful, empathetic, and culturally sensitive manner. 3. Identify participants' needs related to housing, food access, transportation, utilities, and other social care domains. 4. Use SCN digital platforms such as Unite Us and FindHelp to document interactions, make referrals, and track participant progress. 5. Follow up with participants to confirm receipt of services and ensure satisfaction. 6. Maintain accurate, timely, and HIPAA-compliant documentation of all communications and actions taken. 7. Assist participants with navigation of community resources and provide health literacy education. 8. Collaborate with the Director of Community Health to ensure SCN service standards are met, and quality benchmarks are maintained. 9. Drive or Ride Along with Mobile Food Pantry to rural locations in Tompkins County. 10. Assist in Food Hub and Food Pantry operations as well as Mobile Food Pantry and Prescription Food Box programs. 11. Assist in the delivery of evidence-based health intervention programming to support those with chronic diseases throughout Tompkins County. 12. Table and represent the YMCA at community based events. 13. Perform other duties as assigned.

QUALIFICATIONS

• High School Diploma or GED required, associate or bachelor's degree in human services, social work, public health, or a related field preferred.
• At least one year of prior experience working with Medicaid populations or in community health, case management, or care navigation preferred.
• Familiarity with regional Social Care Network, Health-Related Social Needs services, and the Medicaid 1115 Waiver is a plus.
• Strong interpersonal, verbal, and written communication skills.
• Proficient with digital tools and case management platforms (e.g., FindHelp, UniteUs, or other referral software).
• Bilingual candidates are strongly encouraged to apply, specifically in Ukrainian, Russian, Mandarin, or Spanish.
• Ability to work independently, maintain confidentiality, and manage sensitive health and personal information.
• Clear NY State Driver's License

PREFERRED ATTRIBUTES

• Deep commitment to health equity and social justice.
• Understanding of the unique barriers faced by underserved populations in New York.

WORK ENVIRONMENT & PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use a computer for extended periods of time and be able to communicate using a computer and phone/smart device. The employee frequently is required to sit and reach, and must be able to move around the work environment. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust. The noise level in the work environment is usually moderate. Will need to wear personal protective equipment when required.

ADDITIONAL BENEFITS

1. Employee sponsored health insurance. 2. Retirement options through the YMCA Retirement Fund when certain eligibility criteria are met. 3. Generous paid time off. 4. Free individual YMCA membership. 5. Discounts on YMCA program registrations.

Job Type:

Full-time Pay:

$17.50 - $19.00 per hour

Benefits:

Employee discount Health insurance Paid time off Retirement plan

Education:

High school or equivalent (Required)

Experience:

community health, case management, and/or care management : 1 year (Required)

License/Certification:

Driver's License (Required)

Work Location:

In person