Health Navigator

Services for the UnderServed; New York (NY); On-site; USD 60,000 - 65,000; Full time

Job summary

An established industry player is seeking a dedicated Healthcare Navigator to provide essential support to Veteran households facing housing instability. This role involves connecting Veterans to vital healthcare services, coordinating care with multidisciplinary teams, and ensuring participants receive comprehensive case management. The ideal candidate will possess strong communication and organizational skills, with a passion for helping others. Join a mission-driven team that values respect, integrity, and continuous improvement, and make a meaningful impact in the lives of those who have served our country. If you are ready to contribute to a culture of care and support, this is the opportunity for you.

Qualifications

• Bachelor's degree required; 4+ years of experience in healthcare or social services.
• Proficiency in Microsoft Office and strong communication skills are essential.

Responsibilities

• Conduct assessments and provide case management for Veteran households.
• Coordinate care with healthcare providers and support access to services.
• Maintain documentation and respond to participant needs with courtesy.

Skills

Effective written and oral communication skills

Organizational skills

Crisis intervention and conflict resolution

Motivational interviewing techniques

Education

Bachelor’s Degree

Master’s Degree

Tools

Microsoft Windows

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

MinUSD $60,000.00/Yr. MaxUSD $65,000.00/Yr.

Position Overview

S:US provides high-quality, person-centered Rapid Re-Housing and Homeless Prevention services to low-income veteran households who are unhoused or experiencing housing instability. The Healthcare Navigator position provides services that include connecting Veteran households to VA health care benefits and to community health care services, working closely with the full SSVF team to maximize participants access to clinical support and healthcare services. This position provides case management and care coordination, health education, benefits/insurance referrals, and follow up administrative duties to support the needs of enrolled participants in the SSVF program. SSVF Healthcare Navigators work closely with the Veteran’s primary care provider and community-based healthcare services, and coordinate service delivery for the household with members of the Veteran’s assigned SSVF housing and case management team.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Conduct assessments of Veteran households in collaboration with the full SSVF team and, when appropriate, the participants’ community/VA healthcare providers.
• Comply with all HIPAA rules when navigating veterans to healthcare resources that meet their needs, preferences and desired outcomes.
• Maintain a caseload of SSVF participants, supporting their access to permanent housing, income and benefits maximization and other core services.
• Maximize Veterans’ ability to access and maintain health care services.
• Act as a liaison between the SSVF grantee and the VA or community medical clinic and other healthcare providers, coordinating care for a population of Veterans with complex needs who require assistance accessing health care services or adhering to health care.
• Support participants’ access to healthcare resources and services whenever feasible.
• Work closely with the Veteran’s assigned multidisciplinary team, including medical, nursing and administrative specialists, and case management.
• Provide timely, appropriate, person-centered care within the SSVF team.
• Collaborate with healthcare team and Veteran family to identify and address system challenges for enhanced care coordination as needed.
• Assist Veterans in communicating their preferences in care and personal health-related goals, facilitating shared decision-making.
• Serve as a resource for education and support for Veterans and families, identifying appropriate and credible resources tailored to their needs.
• Participate in the development of the Veteran’s care plan, emphasizing community services, outreach, and referrals.
• Review care plan goals with Veteran and conduct regular non-clinical barrier assessments, providing resources and referrals as needed.
• Periodically review effectiveness of resources and make modifications as necessary.
• Monitor Veteran’s progress, maintain comprehensive documentation, and provide information to treatment team members when appropriate.
• Use clear language to communicate recommendations to support the Veteran and family members or caregivers, and identify questions Veterans and their families may have about their treatments.
• Provide comprehensive case management and care coordination across episodes of care by acting as a health coach, proactively supporting the Veteran to optimize treatment interventions and outcomes.
• Coordinate services with other organizations and programs to assure services are complementary and comprehensive, maximizing effectiveness and continuity of care for the Veteran.
• Serve as a liaison to VA and community health care programs and represent the SSVF program in contacts with other agencies and the public.
• Assist in coordinating supportive and additional services with the Veteran, linking them to supportive services, including housing, financial benefits, and transportation—in collaboration with their SSVF housing Case Manager.
• Serve as the subject matter expert on community resources related to the needs of the Veteran.
• Assist in identifying the Veteran and family’s health education needs and provide education services and materials that match their health literacy level.
• Provide ongoing education and support as needed to the Veteran and family members.
• Collaborate with other disciplines involved in providing care.
• Regularly consult with team members to assess and address the needs of Veterans.
• Adhere to ethical principles regarding confidentiality, informed consent, and compliance with relevant laws and agency policies.
• Maintain accurate and detailed case notes.
• Enter relevant data into HMIS and other digital platforms timely.
• Prioritize and manage multiple projects simultaneously, following through on issues promptly.
• Respond to participant and stakeholder needs promptly, accurately, and with courtesy and respect.
• Model appropriate behavior and represent the organization positively.
• Develop relationships utilizing motivational interviewing techniques.
• Utilize crisis intervention and conflict resolution skills, including motivational interviewing, harm reduction approach, and trauma-informed care.
• Deliver high-quality customer service to all stakeholders.
• Partner with programs to improve the efficiency and quality of service delivery.
• Assist with accreditation reviews, monitoring visits, and program audits.
• Promote the SSVF Housing First model of service delivery, especially for those with the highest barriers to accessing and maintaining permanent housing.
• Be available for after-hours crisis response as needed.
• Conduct fieldwork up to 50% of the work week; available for in-office work daily/as needed.
• Adapt and improve service models to be responsive to changing environments and individualized needs/goals of the veteran families served.
• Participate in program/division management meetings and facilitate staff meetings, case conferences, and COC/partners meetings as appropriate.
• Stay current on new regulations, policies, industry trends, and best practices.
• Represent the agency and programs professionally to funders, consumers, potential consumers, referring agencies, and network members.
• Perform other duties as required.

Qualifications

REQUIRED EDUCATION AND EXPERIENCE

• Bachelor’s Degree Required, Master’s preferred.
• Minimum of 4 years of professional experience.
• Demonstrated proficiency with Microsoft Windows, Microsoft Word/Excel/Outlook required.
• Effective written and oral communication skills.

PREFERRED QUALIFICATIONS & SKILLS

• Understanding of health care system and/or Veterans Health Administration (VHA).
• Experience working with low-income, homeless populations and/or Veterans.
• Solid organizational skills and strong communication and writing skills.
• Willingness to attend occasional events outside of normal business hours, including Veterans Day.
• High energy level to complete assigned work and meet deadlines.
• Veterans strongly encouraged to apply.

Company Overview

S:US IS AN EQUAL OPPORTUNITY EMPLOYER

Join a team of employees who care about the well-being of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential, and continuous quality improvement.

S:US is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. S:US is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of service animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Director of Benefits & Compensation at [e-mail].

ID2025-16870