Demo

Community Health Navigator - Member Outreach | Remote in Wilmington, NC

AmeriHealth Caritas
Wilmington, NC Remote Full Time
POSTED ON 2/23/2025
AVAILABLE BEFORE 5/14/2025

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 (two) 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 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.

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Community Health Navigator - Member Outreach | Remote in Wilmington, NC?

    Sign up to receive alerts about other jobs on the Community Health Navigator - Member Outreach | Remote in Wilmington, NC career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $90,911 - $112,927
    Income Estimation: 
    $83,411 - $104,227
    Income Estimation: 
    $94,486 - $132,161
    Income Estimation: 
    $94,096 - $118,718
    Income Estimation: 
    $84,786 - $108,350
    Income Estimation: 
    $70,029 - $91,788
    Income Estimation: 
    $88,426 - $116,821
    Income Estimation: 
    $95,555 - $145,324
    Income Estimation: 
    $92,664 - $115,984
    Income Estimation: 
    $114,731 - $155,985
    Income Estimation: 
    $57,350 - $76,919
    Income Estimation: 
    $70,029 - $91,788
    Income Estimation: 
    $95,555 - $145,324
    Income Estimation: 
    $71,085 - $91,088
    Income Estimation: 
    $114,731 - $155,985
    Income Estimation: 
    $88,426 - $116,821
    Income Estimation: 
    $116,374 - $157,533
    Income Estimation: 
    $95,555 - $145,324
    Income Estimation: 
    $126,670 - $153,667
    Income Estimation: 
    $114,731 - $155,985
    Income Estimation: 
    $103,303 - $148,215
    Income Estimation: 
    $156,374 - $224,893
    Income Estimation: 
    $95,555 - $145,324
    Income Estimation: 
    $162,123 - $210,901
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at AmeriHealth Caritas

    AmeriHealth Caritas
    Hired Organization Address Shreveport, LA Full Time
    Responsibilities Responsible for improving the health status of our members through preventative health education / scre...
    AmeriHealth Caritas
    Hired Organization Address Manchester, NH Full Time
    Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re pass...
    AmeriHealth Caritas
    Hired Organization Address Manchester, NH Full Time
    Responsibilities The Care Manager (RN) assists members appropriate for care management and care coordination services in...
    AmeriHealth Caritas
    Hired Organization Address Marion, SC Full Time
    Remote to qualified candidates living in South Carolina with a preference York County, Aiken County, Charleston County, ...

    Not the job you're looking for? Here are some other Community Health Navigator - Member Outreach | Remote in Wilmington, NC jobs in the Wilmington, NC area that may be a better fit.

    Coastal Nocturnist-Wilmington, NC

    Wilmington Health, Wilmington, NC

    Live by the Beach! Audiologist, Wilmington, NC

    WILMINGTON HEALTH, Wilmington, NC

    AI Assistant is available now!

    Feel free to start your new journey!