Job Description

Work Arrangement;

• Remote
• Must reside in Oakland, Macomb, or Wayne County
• Traveling to and accessing members' homes and community locations within the assigned territory

Role Overview

As part of the Care Management/Case Management department, the Community Health Navigator supports the development and execution of Blue Cross Complete of Michigan’s member outreach strategy to impact health outcomes, health care costs, and member engagement. ;This position establishes and cultivates relationships with members, community stakeholders, and providers via phone, mail, e-mail, and personal visits. Face-to-face member visits at their home or a community organization are essential to the Community Health Navigator role. ;

Education and Experience

• Required: Associate’s Degree in Healthcare, Human Services, related field, or equivalent work experience. Bachelor’s Degree preferred
• Required: Minimum of two (2) years of health care in an office/clinic/hospital setting, or human services experience, or equivalent school experience

Licensure

• ;;Required: Must have a valid Michigan Driver’s License, valid car insurance, and reliable transportation

Skills & Abilities

• Required: Basic knowledge and understanding of managed care, medical terminology, and disease processes
• Preferred: Community-based experience through volunteerism, employment, or education.
• Preferred: Effectively communicating preventive health and health management philosophies to individual members, small groups, and external agencies.;
• Preferred: Comprehensive knowledge of Medicaid requirements, plans, policies, and procedures.
• Preferred: Bilingual Spanish or Arabic
• Required: Must be able to lift to 25 pounds

Your career starts now. We’re looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We'd like to hear from you if you want to make a difference.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at; .

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.

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