Demo

Community Health Navigator

Amerihealth Caritas
Murphy, NC Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 2/9/2025

Job Title: Member Outreach Specialist

We're looking for the next generation of healthcare leaders to join our team at AmeriHealth Caritas. As a Member Outreach Specialist, you will play a vital role in helping us build healthier communities.

About Us:

AmeriHealth Caritas is one of the nation's leaders in health care solutions. We offer integrated managed care products, pharmaceutical benefit management, and specialty pharmacy services, as well as behavioral health services and other administrative services.

Key Responsibilities:

  • Establish connections with high-risk members through home visits and outreach calls
  • Exercise judgment and discretion in coordinating care by handling basic follow-up tasks and collaborating with care management teams and community-based providers
  • Inform members of required actions to fulfill HEDIS, EPSDT, and Plan requirements, and encourage compliance
  • Assist in addressing members' barriers to care and foster relationships with medical and dental providers

Community Education:

  • Develop and maintain relationships with community organizations via phone, mail, email, or personal visits
  • Collaborate with internal departments and external agencies to obtain data for health education/promotion programs

Requirements:

  • Associate's Degree in Healthcare, Human Services, or related field, or equivalent work experience
  • Bachelor's Degree preferred
  • Minimum 2 years of healthcare experience in an office/clinic/hospital setting or human services
  • Comprehensive knowledge of Microsoft Office Suite and database management systems
  • Community-based care experience preferred
  • Previous experience presenting health education materials

Diversity, Equity, and Inclusion:

We celebrate and value diversity, equity, and inclusion in our workforce. Our company offers competitive pay, paid time off, health insurance, 401(k) tuition reimbursement, and more.

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