Community Health Navigator

AmeriHealth Caritas; Boone (NC); Remote; USD 40,000 - 70,000; Full time

Job summary

A forward-thinking organization is on the lookout for passionate individuals to join their mission-driven team. This role focuses on member outreach and community education, allowing you to make a real difference in health care. You will engage with members, identify their needs, and collaborate with various stakeholders to promote health and well-being. With a strong emphasis on diversity, equity, and inclusion, this innovative firm offers a comprehensive benefits package and the chance to impact lives positively. If you are ready to contribute to building healthier communities, this opportunity is perfect for you.

Benefits

Competitive pay

Paid time off

Health insurance from Day 1

401(k)

Tuition reimbursement

Qualifications

• Minimum of 2 years of health care experience in an office/clinic/hospital setting.
• Ability to effectively communicate preventive health philosophies.

Responsibilities

• Establish connection with targeted member population through outreach.
• Develop relationships with community organizations for health education.
• Assist members in overcoming barriers to care.

Skills

Community-based care experience

Health education presentation skills

Knowledge of medical terminology

Effective communication skills

Understanding of Medicaid policies

Knowledge of managed care

Education

Associate’s Degree in Health Care

Bachelor’s Degree

Job description

This role is remote; however, candidates MUST live in or very near Boone, NC.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

1. Member Outreach:

• Establishes connection and acts as the primary ACFC contact to a targeted member population, including some high-risk members, through home visits and outreach calls.
• Identifies SDOH needs and addresses them appropriately, effectively, and efficiently utilizing all available resources including NCCARE 360 and assessing eligibility for the state’s Healthy Opportunities Pilot program (HOP).
• Exercises judgment and discretion in the coordination of care by handling basic care follow-up tasks and collaborating with AmeriHealth Caritas care management teams, community-based health care providers, and other organizations.
• Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through phone calls or home visits, and encourages them to comply.
• Assists in addressing members’ barriers to care and to encourage/foster relationships with their medical/dental providers (medical/dental homes).

Community Education:

• Develops and maintains relationships with new and established community organizations via phone, mail, e-mail, or personal visits.
• Collaborates with internal departments and external agencies to obtain data that is pertinent to the overall success of health education/promotion programs.
• Provides education to members and member representatives regarding available benefits.

Education/Experience:

• Associate’s Degree in Health Care, Human Services, or a related field or equivalent work experience required.
• Bachelor’s Degree preferred.
• Minimum of 2 years of health care experience in an office/clinic/hospital setting or human services.

Other Skills:

• Community-based care experience preferred.
• Previous experience presenting health education materials to individuals and small groups.
• Knowledge of medical terminology and disease processes.
• Ability to effectively communicate preventive health and health management philosophies to members and agencies.
• Comprehensive knowledge of Medicaid requirements, policies, and procedures.
• Knowledge of managed care.
• 50% of time will be spent traveling.

Diversity, Equity, and Inclusion:

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We act with integrity and respect, stand against injustice, and support a more inclusive and equitable workplace. Embracing diverse perspectives makes our company more vibrant, innovative, and better able to serve our communities.

Our Comprehensive Benefits Package:

Includes competitive pay, paid time off including holidays and volunteer events, health insurance coverage for you and your dependents from Day 1, 401(k), tuition reimbursement, and more.