Healthcare Professional

This role is a remote position that requires the candidate to reside in or very near Asheboro, NC. The ideal candidate will be responsible for navigating healthcare services and promoting health education to members.

We're seeking talented individuals who are passionate about making a difference in the lives of millions of people. Our organization offers comprehensive care solutions and award-winning programs.

The Healthcare Navigator will work closely with our team to develop relationships with community organizations, provide education to members, and assist with member outreach and coordination of care.

• Assist the LTSS member population with scheduling of in-home PCS assessments.
• Collaborate with Personal Care Agencies, Home Health Agencies, and physicians' offices to coordinate the LTSS member needs.
• Establish connection and act as the primary ACFC contact to a targeted member population 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.

Responsibilities Continued:

• 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.
• 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.

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.

Salary : $55,000 - $85,000