Social Service Navigator/Case Manager for SHI

Job Type

Full Time


Minimum: $42,000
Maximum: $46,000
Details: Salary is a range dependent on experience.



Start Date


Application Deadline



75 Bayard Street
2nd Floor
New Brunswick
United States


The Social and Healthcare Services Integration (SHI) is a 2-year pilot program whereby the Case Manager/Social Service Navigator (Navigator) will address the health related social needs of housing instability and food insecurity for the highest utilizers of the area hospitals emergency departments. The Hospitals will refer the program Participants to Coming Home and the Navigator will use the tools of Coming Home and the Middlesex County’s Housing Continuum of Care Committee to engage, assess and conduct case management interventions to link Participants to long term housing, health, mental health and other supportive services. The Navigator will also facilitate the connection to the identified services including offer transportation assistance. The position requires intensive case management of the Participants.

Responsibilities: The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned.

Supportive Services- Conduct outreach to referred Participant to develop relationships and build rapport in order to assist them with finding a home. Services may include assisting the individual with gathering documentation, increasing income, accessing appropriate mental and physical health services, and any other services that assist an individual to improve his/her quality of life. Some of these services include;

Meeting with established clients on a regular basis to review, evaluate, and support goal completion.

Conduct Middlesex County’s Coordinated Assessment Tool, (Vulnerability Index- Service Prioritization Decisions Assistance), on all new Participants in order to connect them to proper intervention and services.

Assist client with the establishment of public benefits including (GA, SSI, TANF, etc.).

 Help client to obtain various forms of identification including birth certificates and social security cards.

Assist with applications for supportive and subsidized housing and prospect potential locations for affordable rental housing. 

Build relationships with prospective landlords, and identify appropriate permanent housing options.

Collaborate with community substance abuse and mental health providers to ensure seamless referral services. 

Provide ongoing information, referrals, linkages, and advocacy for all other identified needs. 

Participate in staff meetings and training as assigned by supervisor.  

·     Documentation- Completion of all necessary paperwork to track client progress, (daily logs, HMIS, etc.).  Maintain documentation standards as set forth by the program. Ensure all program data is accurate and entered into the appropriate program documentation system as contractually required. (i.e. HMIS, internal spreadsheet, etc.) Prepare case-related reports including but not limited to: demographics, outcomes, successes and challenges. Generate client data for reporting. 

Qualifications: General: Ability to work independently and as part of the team. Ability to exercise mature and professional judgment. Good problem solving and conflict resolution skills. A highly motivated self-starter with the ability to coordinate multiple projects and tasks. Proficiency with Microsoft Office software. Flexible, adaptable and capable of working in a fast paced, professional environment. Availability to work evening and weekends as infrequently requested by management, and based on the operational needs of the SHI program. Strong written and verbal communication skills.

More Specific:  Demonstrated knowledge and experience with Housing First philosophy and case management interventions that have been proven effective with vulnerable populations.  Experience with engagement and rapport building with hard to reach clients and harm reduction and motivational interviewing strategies.

Required Qualifications• MSW highly preferred;  at a minimum BA in related field and at least 3 years of experience in street outreach with highly vulnerable populations, particularly those with health, mental health, and substance abuse issues; Middlesex County, NJ experience preferred, NJ experience accepted • Ability to maintain regular, consistent attendance • Successful completion of background screening •  As driving is an essential function of this position,  must have Valid Driver's License  and a vehicle.  Bi-lingual (Spanish) preferred. A resume and references are required.


Health Insurance and generous PTO.

Level of Language Proficiency

Fluent in English required. Fluent as well in Spanish is highly preferred.

Professional Level


Minimum Education Required

4-year degree

How To Apply

Please express your interest with a cover letter and send your letter and resume to the email addresses below.

To: Eileen O’Donnell at

with a copy to Bobbin Paskell at before November 1, 2018.