Community Health Navigator

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

Job summary

A leading healthcare organization is seeking passionate individuals to lead member outreach and community education efforts. This role involves establishing connections with high-risk members, addressing their needs, and providing health education. Candidates should have a background in health care or human services, with strong communication skills and a commitment to community support.

Benefits

Competitive pay

Paid time off

Health insurance from Day 1

401(k)

Tuition reimbursement

Qualifications

• Minimum of 2 years of health care or human services experience in an office/clinic/hospital setting.

Responsibilities

• Establishes connection and acts as the primary ACFC contact to a targeted member population.
• Develops and maintains relationships with community organizations.
• Provides education to members regarding available benefits.

Skills

Communication

Community-based care

Health education

Education

Associate’s Degree in Health Care

Bachelor’s Degree

Job description

This role is remote; however, candidates MUST live in or very near Pittsboro, 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 care management teams, community-based healthcare 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 fosters relationships with their medical/dental providers.

Community Education:

• Develops and maintains relationships with community organizations via various communication methods.
• Collaborates with internal departments and external agencies to obtain data pertinent to health education/promotion programs.
• Provides education to members and 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 or human services experience in an office/clinic/hospital setting.

Other Skills:

• Community-based care experience preferred.
• Experience presenting health education materials to individuals and small groups.
• Knowledge of medical terminology and disease processes.
• Effective communication skills for health management philosophies.
• Understanding of Medicaid requirements and managed care.
• 50% travel expected.

Diversity, Equity, and Inclusion:

We value and support a diverse, equitable, and inclusive workplace, acting with integrity and respect to break down barriers and support communities.

Our Benefits:

Competitive pay, paid time off, health insurance from Day 1, 401(k), tuition reimbursement, and more.