Onsite Community Specialist (Pensacola, FL)

Florida Blue; Pensacola (FL); Presencial; USD 65.000 - 106.000; Jornada completa

Descripción de la vacante

Florida Blue (GuideWell) is expanding its Direct-to-Consumer team in Florida, focusing on helping members navigate the healthcare continuum. You will assess needs, educate on benefits, and refer to programs while engaging with both members and community resources to enable better health outcomes.

This role emphasizes compassionate care, collaboration, and proactive problem-solving. The team supports members in making informed health decisions, coordinating services, and promoting lasting

Formación

• 3+ years related work experience in healthcare or social work.
• Experience with discharge planning, linking to community resources, and navigation of financial assistance programs.
• Licensed or eligible for Social Work licensure; CHC credential is a plus.

Responsabilidades

• Identify psychosocial status, economic and physical needs of members; assess patient’s support systems, available community resources and other factors to plan, develop, and implement an appropriate plan of care.
• Serve as members’ point of contact as needed to provide education regarding benefits, network access and community and government agencies that are available to assist members when benefits are not available or exhausted.
• Assist members using motivational interviewing and health coaching skills to learn about financial, emotional, psychosocial, transportation, isolation and food insecurity issues.
• Assist members obtain appropriate community resources, e.g. elder care, Medicare, Medicaid, Faith Based Organizations, local foundations.
• Collaborate with internal and external partners to remove barriers access to care. Identify and implement continuous improvement opportunities.
• Coordinate care for members as appropriate based on care/treatment plan and benefit limitations.
• Identify and refer members to appropriate care programs.
• Provide consultation to case managers; maintain resource site.
• Operates as a member advocate utilizing skills that respect issues of cultural considerations for every patient and family.
• Engage with members to coordinate services, build loyalty and develop trusting relationships; Assess member’s end of life planning and provide appropriate resources and referrals to assist members.
• Improve member retention by connecting members to the right services at the right time and place.
• Attend and host external events promoting center activities while fostering community relationships.

Conocimientos

Problem solving

Collaboration

Communication

Educación

Bachelor's degree in Social Work

Master's degree in Social Work

Descripción del empleo

All of our team members and contributors are expected to deliver results with accountability while collaborating seamlessly across boundaries. They embrace change with resilience, staying curious and learning continuously in a rapidly evolving landscape. Grounded in business understanding and comfortable with AI and digital tools, they solve problems with critical thinking and creativity. Above all, they are driven to serve—ensuring their work creates meaningful impact for members and the community we support.

Love engaging with people to help them achieve better health? Come join the exciting, rapidly expanding Direct-to-Consumer team. We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being. While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools and programs and referring to Florida Blue programs and resources as appropriate. Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels. The Community Specialist will assist members manage their daily lives, understand and make difficult health care choices and obtain social services, such as health care and government assistance. The position will develop and implement care plans to assist members meet their healthcare goals while working with internal and external resources to remove barriers to receiving care.

What You Will Be Doing

• Identify psychosocial status, economic and physic al needs of members; assess patient’s support systems, available community resources and other factors to plan, develop, and implement an appropriate plan of care.
• Serve as members’ point of contact as needed to provide education regarding benefits, network, network access and community and government agencies that are available to assist members when benefits are not available or exhausted
• Assist members using motivational interviewing and health coaching skills to learn about financial, emotional, psychosocial, transportation, isolation and food insecurity issues
• Assist members obtain appropriate community resources, e.g. elder care, Medicare, Medicaid, Faith Based Organizations, local foundations
• Collaborate with internal and external partners to remove barriers access to care. Identify and implement continuous improvement opportunities
• Coordinate care for members as appropriate based on care/treatment plan and benefit limitations.
• Identify and refer members to appropriate care programs.
• Provide consultation to case managers; maintain resource site
• Operates as a member advocate utilizing skills that respect issues of cultural considerations for every patient and family.
• Engage with members to coordinate services, build loyalty and develop trusting relationships; Assess member’s end of life planning and provide appropriate resources and referrals to assist members
• Improve member retention by connecting members to the right services at the right time and place
• Attend and host external events promoting center activities while fostering community relationships.

What We Require

• 3+ years related work experience.
• Experience Details in Healthcare Industry and Managed Care, assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources, etc.
• Related Bachelor's degree required Social work
• Certified Health Coach, CHC 180 Days
• Extensive knowledge of community resources
• Broad knowledge of healthcare industry
• Strong problem solving skills
• Strong collaboration skillsAbility to listen, ascertain needs, and determine appropriate action within defined scope of authority.

What We Prefer

• Master’s degree Social Work
• Experience assessing clients' needs, situations, strengths, and support networks to determine their goals.
• Ability to advocate for and helping clients get resources that would improve their well-being.
• Experienced Problem-solving skills to navigate complex social systems and help clients find solutions.
• LCSW - Licensed Medical Social Worker - State Licensure
• Excellent computer skills Masters Degree in Social Work Bi-lingual Spanish
• Strong ties to community and social resources

For leadership roles, we seek individuals who think critically, embrace a future-focused mindset, and bring intentional perspective to their work —whether managing people, leading projects, or guiding teams. Our ideal candidates operate across matrix environments, applying systems thinking and evidence-based decision-making to drive sustainable results with economic discipline. We value those who lead change with courage and conviction, building trust across teams, and orchestrating both human and AI capabilities to amplify impact. Across all roles - managing direct reports, leading projects, or advancing individual expertise - they cultivate resources, strengthen capabilities, and create conditions for people and work to thrive. Above all, they are committed to building durable value—decisions and actions today that compound organizational strength tomorrow.

General Physical Demands

• Exerting up to 10 pounds of force occasionally to move objects.
• Jobs are sedentary if traversing activities are required only occasionally.
• Travel to and from our corporate offices may be required
• Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences).
• Occasionally may be exposed to outdoor weather conditions of cold, heat, wet, and humidity.
• Occasionally may be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists.

What We Offer

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Typical Annualized Offer/Hiring Range: $65,400 - $81,700

Annualized Salary Range: $65,400 - $106,200

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.