Services for the Underserved

Health Navigator

US-NY-New York
Homeless Services
Regular Full-Time

Position Overview

Services for the UnderServed (SUS) is a New York-based nonprofit organization that provides housing and support services to 25,000 individuals and their families living in New York City and Long Island.  SUS believes every New Yorker has the right to lead a life of purpose.

For more than 35 years, SUS has been transforming this belief into reality by working as an advocate for people with life circumstances marked by intellectual/developmental disability, behavioral health challenges, poverty, & histories of incarceration and/or trauma.

We drive scalable solutions to transform the lives of people with disabilities, people in poverty and people facing homelessness: solutions that contribute to righting societal imbalances. Our commitment to continuous quality improvement impacts the lives of our clients and communities while contributing to the development of our employees.


Job Functions

  • Work as part of a mobile, multi-disciplinary team providing support to three general population shelters in Upper Manhattan and the Bronx. Other team members include the Social Worker (Team Leader), a Psychiatric Nurse Practitioner, CASAC, Health Navigators and Employment Specialists. The mobile team augments and supports the on-site shelter case management staff.
  • Work with Shelter staff to identify unmet needs among shelter residents. Develop outreach plans to engage identified shelter residents.
  • Engage shelter residents in supplementary services.
  • Develop and facilitate schedule of health and wellness focused “drop in” groups for each shelter site.
  • Accompany shelter clients to medical appointments. Accompany clients to lab work and other medical tests. Coordinate care with all medical providers. Assist in having prescriptions filled.
  • Provide treatment adherence counseling. Identify risk reduction and health education material which is culturally relevant and sensitive to the needs of the program participants.
  • Advocate on behalf of consumer regarding medical treatment as needed.
  • Provide crisis intervention services and if necessary.
  • Maintain updated information about primary care, specialty care, mental health, substance abuse treatment and other social services in the community. Act as a resource to shelter case managers and their clients in need of such services. Facilitate referral and admission as indicated.
  • Work with clients and case managers in developing treatment plan and identifying community based referrals for client to continue treatment upon move out
  • Attend and participate in regular staff training and scheduling meetings
  • Maintain confidentiality and privacy regarding all clients’ information
  • Complete incident reports in accordance with policy and procedures ; Report any actual or suspected abuse/neglect in accordance with policy and procedure; Ensure the safety and well-being of the clients on a daily basis
  • Work cooperatively with other team members to carry out the program goals and objectives for each client; Understand and implement the agency’s philosophy, policies and mission Understand and implement the agency’s philosophy, policies and mission
  • Comply with all SUS Employee Policies, Procedures, and Protocols, SUS Corporate Compliance Policies, and NYS Dept. of Social Services Rules, Regulations, and Statutes.
  • Maintain CPR/First Aid Certification
  • A schedule that includes evenings and weekends will be required



  • Associate’s Degree in Social Services or Health Care required. Bachelor’s Degree preferred.
  • Full CASAC preferred.  OR CASAC-T
  • Preference is given to those who have at least two years of experience working on a multi-disciplinary team in a medical, residential, or outreach setting with people with serious, chronic illness.
  • Previous experience with homeless population required
  • Ability to work independently and as part of a team, to assist adults of diverse ethnicities, backgrounds, ages, and sexual preferences
  • Bilingual English/Spanish preferred
  • Evening and weekend hours may be required





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