Community Health Navigator

AmeriHealth Caritas; High Point (NC); Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare company is seeking a Community Health Navigator to enhance member outreach and community education. This remote position requires engagement with members, addressing health-related needs, and collaboration with healthcare providers to ensure comprehensive care. Ideal candidates should possess a degree in health care or human services, complemented by relevant experience. Join a mission-driven team dedicated to improving health outcomes in the community.

Benefits

Competitive pay

Health insurance coverage from Day 1

401(k)

Tuition reimbursement

Paid time off including holidays

Qualifications

• Minimum of 2 years of healthcare experience in an office/clinic/hospital or human services.
• Experience with HCHU population highly preferred.

Responsibilities

• Conduct member outreach and establish connections with targeted member populations.
• Provide health education to members and maintain relationships with community organizations.
• Assist members in addressing barriers to care.

Skills

Community-based care experience

Communication

Knowledge of medical terminology

Knowledge of Medicaid requirements

Education

Associate’s Degree in Health Care, Human Services, or a related field

Bachelor’s Degree

Job description

Join to apply for the Community Health Navigator role at AmeriHealth Caritas.

This role is remote; however, candidates MUST live in or very near Raleigh, NC. Experience in HCHU is highly preferred.

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:

• Member Outreach
• Establish connection and act as the primary ACFC contact to a targeted member population, including some high-risk members, through home visits and outreach calls.
• Identify SDOH needs and address them appropriately, effectively, and efficiently utilizing all available resources including NCCARE 360 and assessing eligibility for the state’s Healthy Opportunities Pilot program (HOP).
• Exercise 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.
• Inform members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through phone calls or home visits, and encourage them to comply.
• Assist in addressing members’ barriers to care and foster relationships with their medical/dental providers (medical/dental homes).

Community Education

• Develop and maintain relationships with new and established community organizations via phone, mail, email, or personal visits.
• Collaborate with internal departments and external agencies to obtain data pertinent to the success of health education/promotion programs.
• Provide 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 in an office/clinic/hospital setting or human services experience.
• Experience with HCHU population highly preferred.

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% travel required.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means all associates have a fair opportunity to achieve their full potential. We act with integrity and respect daily, speak out against injustice, and strive for an inclusive, equitable workplace. Celebrating diverse perspectives makes our company more vibrant, innovative, and better equipped to support our communities.

We keep our associates happy so they can focus on keeping our members healthy.

Our Benefits

Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage from Day 1, 401(k), Tuition reimbursement, and more.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job functions: Other, IT, Management
• Industries: Healthcare