Demo

Community Health Navigator - LTSS | Remote in Greensboro, NC

AmeriHealth Caritas
Greensboro, NC Remote Full Time
POSTED ON 2/22/2025
AVAILABLE BEFORE 5/14/2025

Responsibilities

Member Outreach :

  • Assists the LTSS member population with scheduling of in-home PCS assessments.
  • Collaborates with Personal Care Agencies, Home Health Agencies, and physicians' offices to coordinate the LTSS member needs.
  • 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.
  • 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 (two) years of health care in an office / clinic / hospital setting or human services experience
  • Experience with LTSS population highly preferred.
  • Other Skills :

  • Comprehensive knowledge of Microsoft Office Suite and all of its functionality (Word, Excel, Teams, Power Point, Outlook).
  • Thorough understanding of database management and documentation systems
  • Community based care experience preferred
  • Previous experience in presenting health education materials to individuals and small groups
  • Knowledge and understanding of medical terminology, disease processes, and behavioral health conditions
  • Ability to effectively communicate preventive health and health management philosophies to member’s 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.

    Generous paid time off and paid volunteer time off.

    Employer-matched 401(k) and additional non-elective contributions, starting on day one.

    Medical, dental, and vision plans — with coverage starting on day one.

    Employee assistance programs, fitness reimbursements, nutrition counseling, and more.

    Employer-paid life insurance, with opportunities to purchase additional coverage.

    Employer-paid short-term disability coverage and long-term disability coverage.

    Tuition assistance, including reduced tuition at certain schools.

    Financial assistance with adoption, including paid time off.

    Flexible spending and health savings accounts to pay for qualified expenses.

    Discount programs on entertainment, travel, and more.

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