Social Care Manager

Healthy Alliance

Social Care Manager coordinating enhanced HRSN services for Medicaid Members in Central New York. Responsible for assessing Member eligibility and developing Social Care Plans.

Posted 6/5/2026full-timeSyracuse • New York • 🇺🇸 United StatesMid-LevelSenior💰 $52,950 - $60,892 per yearWebsite

About the role

Key responsibilities & impact

Manage incoming referrals for enhanced HRSN care management to support successful and timely connections for community members
Provide longitudinal care management for Members receiving one or more enhanced HRSN services
Utilize the Electronic Provider Assisted Claim Entry System/Medicaid Eligibility Verification System (ePACES/MEVS) and other data sources to confirm Medicaid enrollment and HRSN screening status, as well as existing care team management
Conduct and document outreach to community members in alignment with required frequency, modality, and timeframe
Manage Member consent and attestation as required throughout the screening, assessment, and care management process
Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess Member HRSNs
Conduct eligibility assessments to determine Member eligibility for enhanced HRSN services and refer Members to eligible programs and services to include enhanced HRSN services and/or existing federal, state, and local resources
Develop Social Care Plans that include a summary of Member needs, eligibility, and services to which they are referred
Ensure referrals are acted upon by HRSN service providers within required timeframes and redirect referrals as necessary to support service connection
Document progress notes and action taken with each referral, as detailed in the Network Standards and Quality Program
Update the Social Care Plan throughout service provision in collaboration with the Member and service provider to reflect strategies and interventions for meeting identified HRSNs
Monitor and manage eligibility status changes in collaboration with Eligibility Specialists and Enhanced HRSN service providers
Confirm service delivery completion and Member needs have been addressed satisfactorily and support the transition to additional resources
Demonstrate ability to use various technology platforms to ensure successful and timely referral connections are made
Maintain effective communication with internal team members, community members, and partner organizations to ensure overall coordination of care
Collaborate with Performance team to report partner effectiveness and efficiency regarding referral response and service delivery and escalate community member service issues in a timely manner
Regularly use data and data tools to report referral patterns and trends to the Referral Coordination Manager
Share detailed feedback on successes and challenges of the role with the Referral Coordination Manager and continually look for opportunities to enhance and simplify the community member experience
Effectively work in a hybrid work environment
Some local travel may be required for meetings, community events, and other job-related responsibilities
Demonstrate commitment to the values of diversity, equity, and inclusion
Maintain current knowledge and understanding of Medicaid and local transformation, including New York Health Equity Reform (NYHER) 1115 Wavier Amendment, Waiver programs, Triple Aim, and value-based purchasing (VBP)
Perform other responsibilities and duties as assigned

Requirements

What you’ll need

Associate degree in health, social services, or related field preferred
Equivalent work experience in a related field may be considered in lieu of degree requirements
Minimum of 5+ years related experience in a clinical, non-profit, or Managed-Care Organization (MCO) environment preferred
Extensive knowledge and understanding of health equity, social drivers of health, and social care data
Excellent communication and presentation skills
Experience using translation services preferred
Ability to build collaborative working relationships with others inside and outside the organization through cooperation, mutual respect and capacity to inspire and motivate others
Thrive working with multiple systems and processes
Extremely detailed-oriented and capable of multitasking
Proven record of hitting key metrics, defining effective data-driven network development strategies, and problem-solving
Proficient computer skills and willingness to learn additional software applications
Demonstrated ability to thrive in a demanding environment

Benefits

Comp & perks

Competitive compensation package
Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
401K with a company match
Unlimited paid time off after 90 days of employment
Company-sponsored training and certification opportunities
Hybrid work environment and people-first workplace
A workplace that values safety, respect, employee engagement, recognition, and diversity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HRSN care managementMedicaid enrollmentHRSN screeningeligibility assessmentsSocial Care Plansdata reportingdata analysisproblem-solvingmultitaskingdetailed-oriented

Soft Skills

communication skillspresentation skillscollaborative working relationshipscooperationmutual respectinspiring and motivating othersadaptabilitycommitment to diversityequity and inclusionability to thrive in demanding environments

Certifications

Associate degree in healthAssociate degree in social servicesManaged-Care Organization experience