Community Health Navigator

AmeriHealth Caritas; Raleigh (NC); Remote; USD 45,000 - 60,000; Full time

Job summary

AmeriHealth Caritas recherche un candidat passionné pour un rôle de liaison communautaire, axé sur l'éducation des membres et le renforcement des relations avec les organisations locales. Le candidat idéal doit avoir de l'expérience dans le secteur des soins de santé et montrer un engagement envers les communautés. Cette position implique des déplacements fréquents et offre un package complet d'avantages compétitifs.

Benefits

Competitive pay

Paid time off

Health insurance on Day 1

401(k)

Tuition reimbursement

Qualifications

• Deux ans d'expérience dans un bureau/cliniques/hôpital ou dans les services humains.
• Sensibilité aux besoins sociaux des déterminants de la santé.
• Préférence pour une expérience en soins communautaires.

Responsibilities

• Établir une connexion avec une population cible de membres via des visites à domicile.
• Développer des relations avec les organisations communautaires et collaborer pour l'éducation.
• Informer les membres sur les exigences HEDIS et les encourager à se conformer.

Skills

Communication

Éducation en santé

Sensibilité communautaire

Education

Associate’s Degree in Health Care or Human Services

Bachelor’s Degree

Job description

This role is remote; however, candidates MUST live in or very near Burnsville, 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:

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 in an office/clinic/hospital setting or human services experience.

Other Skills:

• Community-based care experience preferred.
• Previous experience in presenting health education materials to individuals and small groups.
• Knowledge and understanding 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 and plan, 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 put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

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

Our Comprehensive Benefits Package:

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