Community Health Worker (Social Care Network)

Position Overview: Community Health Worker (CHW) - NY 1115 Waiver / SCN

Haitian Americans United for Progress (HAUP) is seeking a mission-driven and community-oriented Community Health Worker (CHW) to support the organization’s work within New York State’s Medicaid Social Care Network (SCN) Program. The CHW will play a critical role in advancing health equity by addressing the health-related social needs (HRSNs) of Medicaid recipients through outreach, screening, navigation, referrals, and ongoing case management support.

This position is rooted in the goals of the SCN program, which focuses on identifying unmet social needs and connecting Medicaid members to appropriate housing, nutrition, transportation, care management, and other community-based supports. The CHW will conduct screenings, assist with eligibility assessments, coordinate referrals, provide follow-up services, and help close the loop on service delivery for Medicaid recipients. Responsibilities align with the SCN care delivery model, including screening, navigation, referrals, and member-centered social care planning.

In addition to SCN responsibilities, the CHW will be part of HAUP’s broader Community Health Worker team and may support other organizational initiatives focused on community wellness, advocacy, outreach, health education, and equitable access to services. This role requires flexibility, cultural humility, and a strong commitment to serving historically underserved communities.

Bilingual fluency in Haitian Creole and/or Spanish is strongly preferred.

Social Care Network (SCN) Responsibilities

• Conduct Health-Related Social Needs (HRSN) screenings using standardized screening tools with Medicaid recipients and community members.
• Provide social care navigation services to connect individuals to appropriate federal, state, local, and SCN-supported resources and services.
• Conduct outreach and engagement with Medicaid members to assess needs and connect them to care and social supports.
• Assist clients in accessing services related to housing stability, food insecurity, transportation, health care access, benefits enrollment, behavioral health, and other social determinants of health.
• Support eligibility assessment and intake processes for SCN enhanced services.
• Develop and maintain individualized social care/service plans with participants.
• Provide ongoing case management, follow-up, and referral tracking to ensure successful connection to services and “closed-loop” referrals.
• Maintain accurate and timely documentation in electronic platforms and databases in accordance with SCN, Medicaid, and organizational requirements.
• Coordinate with managed care organizations (MCOs), health systems, community-based organizations, and other service providers as needed.
• Participate in case conferences, trainings, quality improvement activities, and team meetings.
• Educate community members about available SCN services and community resources.
• Support member engagement efforts and outreach initiatives to increase screening and service participation.

Community Outreach & Engagement

• Represent HAUP at health fairs, community events, outreach initiatives, workshops, and partner meetings.
• Conduct culturally and linguistically appropriate outreach within immigrant and underserved communities.
• Build relationships with community partners and stakeholders to support referrals and community engagement.
• Assist with special projects, health campaigns, and organizational initiatives that promote health equity and access to care.
• Support outreach activities during evenings and weekends as needed.

General Community Health Worker Responsibilities

• Advocate for clients and help reduce barriers to accessing care and services.
• Provide health education, resource navigation, and support in a trauma-informed and culturally responsive manner.
• Maintain confidentiality and uphold ethical standards in all interactions.
• Collaborate across departments within HAUP to support integrated service delivery.
• Perform additional duties as assigned to support the mission and evolving needs of the organization.

Required Qualifications

• High school diploma or equivalent required with either a Community Health Worker (CHW) certification or a minimum of 3 years of relevant experience in community outreach, case management, care coordination, social services, or community health work; OR
• Associate’s degree in social work, public health, human services, community health, or a related field with a minimum of 2 years of relevant experience; OR
• Bachelor’s degree in social work, public health, human services, community health, or a related field with a minimum of 1 year of relevant experience.
• Strong knowledge of community resources, public benefits, and social service systems in New York City.
• Excellent interpersonal, communication, organizational, and documentation skills.
• Ability to work effectively with diverse populations in a culturally responsive and trauma-informed manner.
• Experience working with underserved, immigrant, Medicaid, or vulnerable populations preferred.
• Ability to manage multiple cases, conduct follow-up, and maintain accurate records in electronic systems.
• Comfortable using technology, electronic health records, and case management platforms.

Preferred Qualifications

• Fluency in Haitian Creole strongly preferred.
• Spanish fluency strongly preferred.
• Experience working within Medicaid, managed care, Social Care Network (SCN), Health Home, care coordination, or social care programs preferred.
• Knowledge of health equity, social determinants of health, and community-based service delivery models preferred.

Job Type: Part-time

Pay: $50,000.00 - $55,000.00 per year

Language:

• Spanish (Preferred)
• Haitian Creole (Preferred)

Work Location: In person