Job Location : Wilmington,DE, USA
This role is remote however candidates need to live in New Castle county in DE and be able to travel anywhere within that county. Must have a valid driver's license, valid/current auto insurance, and be willing to use personal vehicle. All travel for work is reimbursed.
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 coordinating care by handling basic follow-up tasks and collaborating with AmeriHealth Caritas care management teams, community-based healthcare providers, and other organizations. Informs members through phone calls or home visits of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach and encourages them to comply. Assists in addressing members' barriers to care and encourages/fosters relationships with their medical/dental providers (medical/dental homes).
Community Education
Develop and maintain 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 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 Behavioral Health and/or Substance Abuse Disorder population is preferred.
Other Skills
Comprehensive knowledge of Microsoft Office Suite and its functionality (Word, Excel, Teams, PowerPoint, Outlook). 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 members and agencies. Comprehensive knowledge of Medicaid requirements and plan, policies and procedures. Knowledge of managed care. 50% of time will be spent traveling.
At AmeriHealth Caritas, we are 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.
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. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.