What are the responsibilities and job description for the Community Health Navigator position at Amerihealth Caritas?
This is a remote position, but candidates must reside in or near Ahoskie or Hertford NC area.
Your career starts now. We're looking for the next generation of health care leaders.
We're passionate about helping people get care, stay well and build healthy communities at AmeriHealth Caritas.
Our Mission
We deliver comprehensive, outcomes-driven care to those who need it most through our national footprint of products, services and award-winning programs.
We're a mission-driven organization with over 30 years of experience, headquartered in Newtown Square, Pennsylvania.
Responsibilities:
Member Outreach
- We establish connections and act as the primary ACFC contact to a targeted member population through home visits and outreach calls.
- We exercise judgment and discretion in coordinating care by handling basic care follow-up tasks and collaborating with AmeriHealth Caritas care management teams, community-based healthcare providers, and other organizations.
- We inform members of required actions to fulfill HEDIS, EPSDT, and Plan requirements, and encourage them to comply.
- We assist in addressing members' barriers to care and fostering relationships with their medical/dental providers (medical/dental homes).
Community Education
- We develop and maintain relationships with new and established community organizations via phone, mail, email, or personal visits.
- We collaborate with internal departments and external agencies to obtain data pertinent to overall success of health education/promotion programs.
- We provide education to members and representatives regarding available benefits.
Requirements:
Education/Experience
- Associate's Degree in Healthcare, Human Services, or related field or equivalent work experience required.
- Bachelor's Degree preferred.
- Minimum of 2 years of healthcare experience in an office/clinic/hospital setting or human services experience.
Skills
- Comprehensive knowledge of Microsoft Office Suite and all its functionality.
- Thorough understanding of database management and documentation systems.
- Community-based care experience preferred.
- Previous experience 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 members and agencies.
- Comprehensive knowledge of Medicaid requirements and plan policies and procedures.
- Knowledge of managed care.
Diversity, Equity, and Inclusion
We value diversity and promote equity at AmeriHealth Caritas.
We put these principles into action every day by acting with integrity and respect.
We stand together to speak out against injustice and break down barriers to support a more inclusive and equitable workplace.
Celebrating and embracing diverse thoughts and perspectives makes our company more vibrant, innovative, and better able to support the people and communities we serve.
Our Benefits Package
We offer 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.
