Senior Care Navigator & Resources Coordinator

ArchWell Health; St. Louis (MO); On-site; USD 52,000 - 76,000; Full time

Job summary

ArchWell Health is seeking a Social Work Coordinator to support members’ social, emotional, and practical needs by connecting them with community resources and assisting with social service needs.

Working with LMSW/LCSW, providers, and interdisciplinary care teams, you will help members access benefits, complete required forms, and address Social Determinants of Health while supporting care transitions and member education initiatives.

Qualifications

• Knowledge of community resources, social services programs, and Social Determinants of Health.
• Strong interpersonal communication skills with exceptional active listening abilities.
• Highly empathetic, compassionate, non-judgmental, and member-focused.
• Ability to build trust and rapport with seniors, caregivers, and community partners.
• Strong organizational and follow-up skills with attention to detail.
• Ability to navigate multiple priorities while maintaining excellent customer service.
• Experience working collaboratively within an interdisciplinary team environment.
• Strong problem-solving skills and ability to identify practical solutions for member needs.
• Ability to communicate effectively with members, families, providers, community organizations, and internal teams.
• Proficient computer skills including Microsoft Office and electronic medical record systems.
• Understanding of healthcare, insurance benefits, and managed care programs preferred.

Responsibilities

• Conduct outreach calls to members to assess needs and provide support related to Social Determinants of Health (SDOH).
• Connect members with community-based resources and services including food assistance, housing support, transportation, utility assistance, caregiver resources, and other social services.
• Assist Social Workers (LMSW/LCSW) with care coordination activities, discharge planning, and higher levels of care placement support.
• Help members navigate managed care plans, available benefits, and community support programs.
• Serve as a resource guide for members and families seeking assistance with social, financial, or environmental challenges.
• Facilitate referrals to community organizations, healthcare providers, government agencies, and social service programs.
• Assist members with completing forms and documentation such as handicap parking placards, housing-related provider letters, emotional support animal requests, and similar applications.
• Support members in accessing services that promote independence, safety, and overall well-being.
• Collaborate with providers, social workers, care teams, and community partners to address member needs.
• Assist with workshops and educational programs focused on Social Determinants of Health, Advanced Care Planning, and other member support topics.
• Maintain accurate and timely documentation in the electronic medical record (EMR) system.
• Adhere to HIPAA guidelines and maintain confidentiality of protected health information (PHI).
• Participate in interdisciplinary team meetings and contribute to member care planning discussions.

Skills

Community resources

Active listening

Empathy

Interpersonal skills

Organizational skills

Multitasking

Team collaboration

Problem solving

EMR proficiency

Healthcare benefits knowledge

Spanish language

Education

High School Diploma or GED

Bachelor's or Master’s in Social Work

Tools

EMR systems

Microsoft Office

Job description

ArchWell Health is seeking a Social Work Coordinator to support members’ social, emotional, and practical needs by connecting them with community resources and assisting with social service needs.

Working with LMSW/LCSW, providers, and interdisciplinary care teams, you will help members access benefits, complete required forms, and address Social Determinants of Health while supporting care transitions and member education initiatives.