Care Manager Navigator – Member Services

Forward Leading IPA; City of Rochester (NY); Hybrid; USD 33,000 - 34,000; Full time

Benefits offered by this job

401(k) with Company Match

Medical Insurance

Dental Insurance

Vision Insurance

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Paid Time Off (PTO)

Flexible Schedule

Mileage Reimbursement

Job summary

Forward Leading IPA (FLIPA) is seeking a Care Manager Navigator – Member Services to support members with social care needs through care coordination, resource navigation and referral management. The role ensures timely access to services and improves outcomes across FLIPA's Social Care Network.

Responsibilities include developing care plans, tracking referrals, and collaborating with healthcare partners. The ideal candidate has a Bachelor's degree and 2 years' experience in care coordination,

Qualifications

• Bachelor's degree required as listed in qualifications.
• Two years of experience in care management, case management, or related fields.
• Strong communication, organizational, and documentation skills.
• Ability to manage multiple priorities while collaborating across teams.
• Preferred: Medicaid/managed care experience.
• Bilingual candidates encouraged to apply.

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 and community partners.
• Maintain accurate documentation in required systems.
• Identify and elevate complex cases or service gaps.
• Support quality improvement and network-wide coordination.

Skills

Communication

Organizational skills

Documentation

Multitasking

Team collaboration

Education

Bachelor's degree in social work, human services, public health, nursing, psychology or related field

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

Reports To: CHW Supervisor & Care Management Performance Manager
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.

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 elevate complex cases, compliance concerns, or service gaps.
• Support quality improvement initiatives and network-wide coordination efforts.

Qualifications

Required:

• Bachelor's degree in social work, Human Services, Public Health, Nursing, Psychology, or a related field.
• Two (2) 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.

Compensation

$24.00 – $25.00 per hour, commensurate with education and experience.

Benefits

• 401(k) with Company Match
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (PTO)
• Flexible Schedule
• Mileage Reimbursement