Bilingual Community Health Advocate — Hybrid/Remote

Centene Corporation; Escondido (CA); Hybride; USD 37 000 - 67 000; Plein temps

Avantages offerts par ce poste

Health benefits

Mileage reimbursement

Flexible schedule

Hybrid work

Career development

Résumé du poste

Centene Corporation seeks a Community Health Advocate in San Diego to engage members, educate them on preventive care, and connect them with local resources. The role combines remote and in-person home visits (roughly 50/50) and requires strong communication, cultural competency, and the ability to navigate social services.

The position emphasizes coordinating care, reducing gaps, and collaborating with providers to improve health outcomes, with mileage reimbursement for community travel.

Qualifications

• Bachelor's degree in Social Work, Public Health, Nursing, or related field.
• 2+ years in community health or healthcare quality.
• Experience with health plan members and navigating community resources.
• Familiarity with Medicaid/Medicare and quality measures (e.g., HEDIS).
• Strong communication and interpersonal skills.

Responsabilités

• Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources.
• Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.
• Serve as a member advocate by helping individuals navigate complex healthcare and social service systems. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements.
• Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives.
• Educate members on preventive care, chronic condition management, and available community resources.
• Document member interactions, care gap closures, and referrals in the appropriate systems.
• Partner with internal departments (e.g., Quality, Care Management, Provider Relations) to align efforts and improve member outcomes.
• Monitor and report on outreach effectiveness and care gap closure metrics.
• Maintain compliance with state and federal regulations and organizational policies.
• Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes.
• Serve as a community ambassador, building relationships with local organizations and stakeholders.

Connaissances

Bilingual English/Spanish

Communication skills

Interpersonal skills

Formation

Bachelor's degree in Social Work, Public Health, Nursing, or related field

2+ years in community health or healthcare quality

Licenses: LCSW or RN preferred

Description du poste

Centene Corporation seeks a Community Health Advocate in San Diego to engage members, educate them on preventive care, and connect them with local resources. The role combines remote and in-person home visits (roughly 50/50) and requires strong communication, cultural competency, and the ability to navigate social services.

The position emphasizes coordinating care, reducing gaps, and collaborating with providers to improve health outcomes, with mileage reimbursement for community travel.