Community Health Navigator

Employment Type

: Full-Time


: Miscellaneous

Responsibilities: As part of the community outreach function, the Community Health Navigator supports the development of and executes on the outreach strategy in a certain territory for the purposes of impacting health outcomes, health care costs, and member engagement. This position is responsible for establishing and cultivating relationships with community stakeholders and providers, implementing and managing community events and education programs, and engaging a group of select members in that territory. Community Education: * Partners with community organizations and targeted providers to implement events and educational programs that address Medicaid program/Plan updates, enhance member knowledge, and ultimately impact health outcomes. These include: health/safety/HEDIS based education presentations; face-to-face education and outreach sessions/workshops for members which can be based on referrals from various departments; culturally and linguistically appropriate health promotion/education programs. * Develops and maintains relationships with new and established community organizations via phone, mail, e-mail and personal visits. * Collaborates with internal departments and outside agencies to obtain data that is pertinent to the overall success of health education/promotion programs. 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. * 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). Education/Experience: * Associate's Degree in Health Care, Human Services or a related field or equivalent work experience. * Bachelor's Degree preferred. * Candidate must possess a valid driver's license and be willing and able to drive a car. * Minimum of 2 years of health care in an office/clinic/hospital setting or human services experience. * 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 within the Region. Region 6 will cover Greenville and surrounding counties (Northeastern portion of the state) * Lifting premium give-aways and educational materials.

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