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Job Title: Project Director, Social Care Network (SCN)

Reports To: Chief Program Officer (CPO)

Project Summary:

The New York State Department of Health has established Social Care Networks (SCNs) as part of the 1115 Waiver Demonstration Amendment, and Forward Leading IPA (FLIPA) is the SCN Lead for the Finger Lakes Region. This region is comprised of 14 counties, including Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, and Yates. The SCN’s aim is to enhance the delivery of social care services to Medicaid members by coordinating efforts among community-based organizations (CBOs) and other health care partners to create a more resilient, flexible, and accessible social care system that reduces health disparities and advances health equity. The SCN will collaborate with CBOs and other health care partners, leveraging shared data and technology to coordinate social care services for Medicaid members to improve access, ensure reliable and timely referrals, streamline and track navigation and completed referrals in closed loop systems and enhance collaboration between social care service providers and other regional partners.

Job Summary:
This position is responsible for directing the implementation and ongoing execution of the Social Care Network (SCN) in accordance with New York State Department of Health (DOH) requirements under the 1115 Waiver. The Project Director ensures that SCN deliverables are completed on time, within scope, and in compliance with state guidance and contractual expectations.

The Project Director serves as the primary operational lead for the SCN and is responsible for translating executive strategy into actionable workplans, coordinating cross-functional implementation efforts, and maintaining accountability across SCN teams and contracted partners. This role provides direct supervision of SCN staff that support network development, engagement with and success of contracted entities, training, and performance to support readiness, compliance, and continuous improvement.

Organizational Overview: 

Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across more than 27 counties and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.   

Equal Employment Opportunity Statement: 

At Forward Leading IPA (FLIPA), we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact. 

Security Level: Leadership

Duties/Responsibilities:

Program Leadership

• Provide day-to-day operational leadership for the SCN, ensuring alignment between executive direction and frontline implementation activities.
• Define and manage SCN scope, objectives, and implementation priorities in alignment with DOH guidance, SCN Program Manual requirements, and 1115 Waiver standards.
• Develop and oversee implementation plans, including milestones, timelines, and resource needs, in collaboration with executive leadership.
• Monitor SCN performance and outcomes to identify trends, gaps, and opportunities for improvement.
• Support strategic planning for post-1115 Waiver sustainability, including operational readiness, partner capacity development, and network continuity.
• Coordinate activities across departments, partner organizations, and geographies to support consistent execution within diverse organizational and community contexts.
• Forecast and manage program resources efficiently in collaboration with executive leadership.

People Management & Network Development

• Provide direct supervision, coaching, and performance management for Provider Liaison Specialists (PLSs), ensuring consistent partner engagement, documentation, and accountability.
• Supervise training lead to align onboarding, technical assistance, learning communities and partner needs.
• Oversee network development activities through coordination and supervision of Director of Network Development
• Coordinate with performance lead to align on performance monitoring with network compliance and partner needs.
• Partner with technology and data team to align operational requirements with system tools ensuring compliance with requirements from OHIP, NYeC, and NYS DOH. 
• Collaborate with data and analytics team to define and operationalize performance reporting requirements to track SCN partner compliance, service delivery, and outcome performance
• Establish and maintain structured feedback loops across SCN areas of focus 
• Monitors SCN contracted partner progress through onboarding, implementation and scaling phases.

External Relations, Governance & Reporting

• Serve as the primary operational liaison with New York State DOH, leading biweekly check-in calls and ensuring accurate communication of project status and follow-up on open items.
• Responsible for ensuring timely submission of all state reporting requirements
• Support SCN Governing Body activities, including preparation of materials, documentation of decisions and action items, and tracking of key deliverables.

Additional Duties

• Perform other related duties as assigned.

Education & Experience:

• Bachelor’s degree (Master’s preferred) in a related field, such as project management, business, public health, population health, or equivalent experience required.
• 5-7 years of project management or related experience required
• Experience within the New York State health care system (population health, behavioral health, Federally Qualified Health Centers, or similar) required

Skills, Knowledge, and Abilities:

• Excellent organizational skills, detail oriented to support follow through across a variety of projects and processes at once
• Ability to independently manage multiple priorities effectively with minimal supervision
• Proficient with Asana, Hubspot (or other CRM tool) and Microsoft Office Suite, including Microsoft Teams
• Flexible, adaptable style that takes in stride last minute changes and project pivots

• Able to apply established project management methodologies, tools, and best practices across the full project lifecycle.
• Thrives on creative problem-solving

• Ability to provide structured support to resources struggling to meet deadlines
• Strong familiarity with project management software tools, methodologies, and best practices
• Experience seeing projects through the full life cycle
• Ability to translate business requirements into project specifications

• Demonstrated ability to explore, understand, and communicate with data in a meaningful way.

• Strong interpersonal skills, independently resourceful and thrives in a fully remote environment
• Proven ability to complete projects according to defined timelines and objectives

Salary Range:

• Salary is commensurate to education and experience with a range of $80,000 – $100,000. 

Additional information:

• This position will be remote with periodic required in-person meetings.

 Job Title: Financial Service Administrator

Reports to: Chief Financial Officer

Organizational Overview:  

Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across Upstate NY and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.

Job Summary: 

The Financial Support Administrator will play a vital role in supporting the finance and claims and billing team by preparing invoices, analyzing financial data, preparing reports, performing bookkeeping functions, and assisting with claims processing. The position will be responsible for providing professional and timely fiscal administrative support to Forward Leading IPA (FLIPA) Finance Team. 

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we value individuals’ unique backgrounds, experiences, and perspectives. We are committed to fostering an environment where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws. 
 
We believe that building a strong team starts with hiring individuals whose skills and perspectives reflect the communities we serve. We actively promote opportunity for all and strive to ensure that each team member’s talents and potential are recognized and valued. Our hiring decisions are based solely on individual merit. 
 
FLIPA is committed to prioritizing the human element in healthcare. By encouraging different viewpoints and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us in making a meaningful impact. 

Security Level: Standard – FLIPA

Duties/Responsibilities:    

• Assist the Senior Accountant with bookkeeping and accounts payable functions

• Assist the Claims and Billing Manager with claims processing and reporting
• Maintain financial data integrity and ensure compliance with accounting policies and procedures
• Prepare and edit correspondence, communications, and other documents as necessary

• Work with providers to ensure financial and claims information is correct 

• Assist with fiscal audit preparation 

• Preparing and distributing financial reports
• Administrative assistance with development of financial policies and procedures
• Other duties as assigned 

Education & Experience:  

• Preferred Bachelor's degree in related field, or equivalent experience required 

• Minimum 3 years of similar experience 

Skills, Knowledge, and Abilities:  

• Excellent writing and organizational skills
• Proficient with utilizing accounting systems (e.g. Quickbooks, Blackbaud) 

• Highly proficient with Microsoft Office Suite, including Microsoft Teams 
• Flexible, adaptable style that takes in stride last minute changes and project pivots and thrives on creative problem-solving. Able to work quickly and efficiently  

• Strong interpersonal skills, independently resourceful and thrives in a fully remote environment 
• Demonstrated communication skills 
• Information gathering and monitoring skills 
• Problem analysis and problem-solving skills 
• Sound judgment and decision-making ability 

• Initiative to complete projects and tasks independently 
• Attention to detail and accuracy 
• Confidentiality 

Salary Range:

• Salary range is $60,000 - $70,000 commensurate to education and experience.

Additional information:

• This position will be remote with limited in-person meetings

Reports To: Chief Executive Officer

Job Summary: The Chief Medical Officer is responsible for the development and execution of effective healthcare programs and policies, focusing on preventive care, integrated care, best practices, and healthcare access. Collaboration will be a crucial aspect of your role, as you will work closely with cross-functional teams to develop innovative healthcare solutions that address the unique needs of our company. 

Organizational Overview: Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across more than 27 counties and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments. 

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact.

Security Level: Leadership

Duties/ Responsibilities:   

• Operational Leadership: 
  • Collaborate with the executive team to develop and implement policies, procedures, and programs that promote quality improvement and operational efficiency.
  • Support relationships/agreements with external partners, contractors, and vendors.
  • Develop and execute the organization’s clinical vision, strategies and objectives, aligning them with its goals and mission.
  • Supervise staff engaged in VBP and Performance Management activities.
• Strategic Planning: 
  • Collaborate with the CEO and executive team to develop and implement long-term strategies for growth and sustainability.
  • Stay updated on emerging trends, research, and best practices in healthcare to ensure that the organization remains at the forefront of medical advancements.
• Performance Management: 
  • Monitor performance metrics and operational efficiency in value-based payment arrangements, making adjustments as necessary to achieve optimal results.
  • Regularly evaluate the efficiency of business procedures according to organizational objectives and apply improvements. 
  • Establish relationships with FLIPA Member providers to advance VBP and associated programs and to incorporate FLIPA member needs in the strategy.
  • Design, collaborate and participate in Performance Management Committee and related cohorts and meetings.
• Financial Oversight: 
  • Participate in budget review, financial planning, and resource allocation to ensure financial health and sustainability.
• Compliance and Quality Assurance: 
  • Collaborate with Compliance Officer to support policy and procedure development, implementation, and regular update and review. 
• Team Development: 
  • Lead interdisciplinary teams, encouraging collaboration, communication, and knowledge sharing among medical professionals and staff.
  • Foster a culture of continuous quality improvement, monitoring key performance indicators, and implementing initiatives to optimize healthcare delivery.

• Other duties as assigned. 

Education & Experience:

• M.D. or D.O. degree from an accredited institution with active, unrestricted license to practice medicine and current Board-Certification.

• Extensive Medicare and Medicaid experience with in-depth knowledge of risk adjustment and value-based programs in addition to state and federal regulations

Skills, Knowledge, and Abilities: 

• Excellent organizational and leadership abilities 
• Outstanding communication and people skills 
• Knowledge of industry’s legal rules and guidelines 
• Working knowledge of data analysis and performance/operation metrics 
• Familiarity with MS Office and various business software  

Salary Range:

• Salary is commensurate to education and experience with a range of pay $170,000 - $190,000.

Job Title: Westchester Community Health Center Community Health Worker

Reports to: FLIPA Community Health Worker Supervisor and Westchester Community Health Center Care Coordinator

Social Care Network Summary: The New York State Department of Health has established Social Care Networks (SCNs) as part of the 1115 Waiver Demonstration Amendment, The SCN’s aim is to enhance the delivery of social care services to Medicaid members by coordinating efforts among community-based organizations (CBOs) and other health care partners to create a more resilient, flexible, and accessible social care system that reduces health disparities and advances health equity. The SCN will collaborate with CBOs and other health care partners, leveraging shared data and technology to coordinate social care services for Medicaid members to improve access, ensure reliable and timely referrals, streamline and track navigation and completed referrals in closed loop systems and enhance collaboration between social care service providers and other regional partners.

Job Summary: This position is responsible for establishing trusting relationships with patients while providing support in navigating and accessing resources and engaging patients in goal-driven care. The Community Health Worker systematically identifies, assesses, refers, and monitors high-need individuals to ensure access to essential services while supporting providers and the Care Team through an integrated approach to care management and community outreach. 

This position is funded through March 2027.

Organizational Overview: Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across Upstate NY and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.   

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact.

Security Level: Shared Staff - FLIPA

Duties/Responsibilities:

• Provide a vital link between local communities and healthcare provider by helping individuals access resources and navigate systems.
• Proactively outreach and engage identified individuals in need of services, follow up or social care screening by connecting via phone calls, home visits and/or in-person visits to other settings where patients can be found.
• Support deployment of NYS Social Care Network screening and referral process
  • Engage directly with Medicaid individuals to administer the Health-Related Social Needs Screening Tool to identify needed areas of support.
  • Facilitate referrals to appropriate community resources and healthcare providers.
  • Collaborate with the Care Team to ensure timely follow-up and service linkage.
  • Use designated online referral systems and databases to track and manage client referrals. 
  • Provide care management related to social care services
• Accurately document in electronic systems and maintain detailed and organized records in compliance with organizational policies and standards.
• Work closely with the Care Team, including care coordinators and other healthcare professionals, to align to a whole person care approach.
• Participate in regular team meetings and contribute insights on client progress.
• Attend regular supervision, staff meetings, trainings and other meetings, as requested.
• Other duties as assigned

Education & Experience:

• Minimum of High School Diploma or GED.
• Associate's degree in human services, Social Work or other related degree preferred.
• Equivalent experience in lieu of education may be considered.
• Minimum of 1-3 years' human services experience.

Skills, Knowledge, and Abilities:

• Possess excellent verbal and written communication skills.
• Exceptional customer service skills with commitment to helping others.
• Ability to quickly adapt and be flexible in approach to job tasks and challenges and maintain emotional control under stress.
• Excellent time management skills with exceptional attention to detail and the ability to multi-task and manage multiple priorities with competing deadlines.
• Capability to work cooperatively with culturally diverse clients, staff, and community service providers.
• Basic computer literacy, including the ability to use email, conduct online research, and create basic documents (MS Office Suite including Excel, Outlook and Word).
• NYS motor vehicle license, safe driving record and availability of personal vehicle for work.
• Holds self and others responsible and accountable to meet commitments.

Salary Range:

• Salary is commensurate to education and experience with a range of $18.27 to $28.85 per hour

Additional information:

• This position is an in-person role, embedded within Westchester Community Health Center a FLIPA member organization. 
• This position will be located at 107 W 4^th St, Mount Vernon NY 10550.

 Job Title: Social Health Engagement Specialist

Reports to: FLIPA Community Health Worker Supervisor and Whitney Young Health Sr. Director Behavioral Health Service Lines

Social Care Network Summary: The New York State Department of Health has established Social Care Networks (SCNs) as part of the 1115 Waiver Demonstration Amendment, The SCN’s aim is to enhance the delivery of social care services to Medicaid members by coordinating efforts among community-based organizations (CBOs) and other health care partners to create a more resilient, flexible, and accessible social care system that reduces health disparities and advances health equity. The SCN will collaborate with CBOs and other health care partners, leveraging shared data and technology to coordinate social care services for Medicaid members to improve access, ensure reliable and timely referrals, streamline and track navigation and completed referrals in closed loop systems and enhance collaboration between social care service providers and other regional partners.

Job Summary: This position is responsible for establishing trusting relationships with patients while providing support in navigating and accessing resources and engaging patients in goal-driven care. The Social Health Engagement Specialist systematically identifies, assesses, refers, and monitors high-need individuals to ensure access to essential services while supporting providers and the Care Team through an integrated approach to care management and community outreach. 

This position is funded through March 2027. 

Organizational Overview: Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across Upstate NY and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.   

Host Organization Overview:

As a Federally Qualified Health Center (FQHC), Whitney M. Young, Jr. Health Center (WYH) is a nonprofit established in 1971 to provide access to consistent, high-quality healthcare to underserved neighborhoods in the Capital District without regard to income. Their mission is to deliver equitable and accessible quality care – empowering our diverse community to achieve better health and wellness. They envision a future in which all people achieve their highest level of health and well-being. WYH offers medical (primary care), dental, behavioral health, and numerous specialty services to more than 20,000 men, women, and children annually at health centers in Albany, Troy, and Watervliet in the Capital Region of New York State. They serve a racially and ethnically diverse population that speaks more than 40 different languages.

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact.

Security Level: Shared Staff - FLIPA

Duties/Responsibilities:

• Provide a vital link between local communities and healthcare providers by helping individuals access resources and navigate systems.
• Proactively outreach and engage identified individuals in need of services, follow up or social care screening by connecting via phone calls, home visits and/or in-person visits to other settings where patients can be found.
• Support deployment of NYS Social Care Network screening and referral process
  • Engage directly with Medicaid individuals to administer the Health-Related Social Needs Screening Tool to identify needed areas of support.
  • Facilitate referrals to appropriate community resources and healthcare providers.
  • Collaborate with the Care Team to ensure timely follow-up and service linkage.
  • Use designated online referral systems and databases to track and manage client referrals. 
  • Provide care management related to social care services
• Accurately document in electronic systems and maintain detailed and organized records in compliance with organizational policies and standards.
• Work closely with the Care Team, including care coordinators and other healthcare professionals, to align to a whole person care approach.
• Participate in regular team meetings and contribute insights on client progress.
• Attend regular supervision, staff meetings, trainings and other meetings, as requested.
• Other duties as assigned

Education & Experience:

• Minimum of Associate's degree in human services, social work or other related degree preferred.
• Equivalent experience in lieu of education may be considered.
• Minimum of 1-3 years' human services experience.

Skills, Knowledge, and Abilities:

• Possess excellent verbal and written communication skills.
• Exceptional customer service skills with commitment to helping others.
• Ability to quickly adapt and be flexible in approach to job tasks and challenges and maintain emotional control under stress.
• Excellent time management skills with exceptional attention to detail and the ability to multi-task and manage multiple priorities with competing deadlines.
• Capability to work cooperatively with culturally diverse clients, staff, and community service providers.
• Basic computer literacy, including the ability to use email, conduct online research, and create basic documents (MS Office Suite including Excel, Outlook and Word).
• NYS motor vehicle license, safe driving record and availability of personal vehicle for work.
• Holds self and others responsible and accountable to meet commitments.

Salary Range:

• Salary is commensurate to education and experience with a range of $22 to $24 per hour

Additional information:

• This position is an in-person role, embedded within Whitney Young Health - a FLIPA member organization. 
• This position is located in the Albany region.

 Job Title: Community Health Center of the North Country~Community Health Worker

Reports to: FLIPA Community Health Worker Supervisor and the CHCNC Clinical Development Manager

Social Care Network Summary: The New York State Department of Health has established Social Care Networks (SCNs) as part of the 1115 Waiver Demonstration Amendment, The SCN’s aim is to enhance the delivery of social care services to Medicaid members by coordinating efforts among community-based organizations (CBOs) and other health care partners to create a more resilient, flexible, and accessible social care system that reduces health disparities and advances health equity. The SCN will collaborate with CBOs and other health care partners, leveraging shared data and technology to coordinate social care services for Medicaid members to improve access, ensure reliable and timely referrals, streamline and track navigation and completed referrals in closed loop systems and enhance collaboration between social care service providers and other regional partners.

Job Summary: This position is responsible for establishing trusting relationships with patients while providing support in navigating and accessing resources and engaging patients in goal-driven care. The Community Health Worker systematically identifies, assesses, refers, and monitors high-need individuals to ensure access to essential services while supporting providers and the Care Team through an integrated approach to care management and community outreach. 

This position is funded through March 2027.

Organizational Overview: Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across Upstate NY and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.   

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact.

Security Level: Shared Staff - FLIPA

Duties/Responsibilities:

• Provide a vital link between local communities and healthcare provider by helping individuals access resources and navigate systems.
• Proactively outreach and engage identified individuals in need of services, follow up or social care screening by connecting via phone calls, home visits and/or in-person visits to other settings where patients can be found.
• Support deployment of NYS Social Care Network screening and referral process
  • Engage directly with Medicaid individuals to administer the Health-Related Social Needs Screening Tool to identify needed areas of support.
  • Facilitate referrals to appropriate community resources and healthcare providers.
  • Collaborate with the Care Team to ensure timely follow-up and service linkage.
  • Use designated online referral systems and databases to track and manage client referrals. 
  • Provide care management related to social care services
• Accurately document in electronic systems and maintain detailed and organized records in compliance with organizational policies and standards.
• Work closely with the Care Team, including care coordinators and other healthcare professionals, to align to a whole person care approach.
• Participate in regular team meetings and contribute insights on client progress.
• Attend regular supervision, staff meetings, trainings and other meetings, as requested.
• Other duties as assigned

Education & Experience:

• Minimum of High School Diploma or GED.
• Associate's degree in human services, Social Work or other related degree or certification preferred.
• Equivalent experience in lieu of education may be considered.
• Minimum of 1-3 years' human services experience.
• Experience with Electronic Health Records (EHRs) preferred.

Skills, Knowledge, and Abilities:

• Possess excellent verbal and written communication skills.
• Exceptional customer service skills with commitment to helping others.
• Ability to quickly adapt and be flexible in approach to job tasks and challenges and maintain emotional control under stress.
• Excellent time management skills with exceptional attention to detail and the ability to multi-task and manage multiple priorities with competing deadlines.
• Capability to work cooperatively with culturally diverse clients, staff, and community service providers.
• Basic computer literacy, including the ability to use email, conduct online research, and create basic documents (MS Office Suite including Excel, Outlook and Word).
• NYS motor vehicle license, safe driving record and availability of personal vehicle for work.
• Holds self and others responsible and accountable to meet commitments.

Physical Requirements and Environmental Conditions:

• Light work; Ability to occasionally lift and carry up to 25 lbs.
• Excellent hand-eye coordination.
• Ability to sit for long periods of time.
• Ability to tolerate extensive exposure to a computer monitor/screen.
• Ability to tolerate extensive use of a computer keyboard.

Salary Range:

• Salary is commensurate to education and experience with a range of $18.27 to $28.85 per hour
  
  

Additional information:

• This position is an in-person role, embedded within CHCNC, a FLIPA member organization. 
• This position will be located at the Canton Health Center with travel to each of the other three centers (Ogdensburg, Gouverneur, and Malone).