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Location

Baltimore, MD | United States

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Job description

Resp & Qualifications

PURPOSE:
Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through outreach, follow-up, coordination support, education, communication, and resources. While considered "remote," this is a field-based position where the Community Health Navigator will travel regularly within the Prince George's County area to meet face to face with members, families, providers and other community-based partners in an effort to support members' health needs. Working from a home-base and traveling throughout Prince George's County, the incumbent will also be expected to come into a CareFirst location periodically for meetings, trainings and/or other business-related activities.

ESSENTIAL FUNCTIONS:

• Act as a liaison to ensure members are connected with appropriate care channels (i.e. pharmacy, insurance, billing, referral) and have the information they need to successfully navigate their care journeys.

• Outreach and follow-up with patients in between episodes of care as appropriate to promote a seamless and predictable healthcare experience. Ensure that member went to appointments and assist with coordination for transportation and pharmacy needs.

• Collect all information and relay to Care Coordination team.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: 3 years community relations/outreach/ customer services/ health educator role.

Preferred Qualifications: Community Health Worker Certification.

Knowledge, Skills and Abilities (KSAs)

• Strong written and verbal communication skills.
• Problem-solving skills to tackle various tasks and challenges.

Additional Skills and Abilities:

• Must have own transportation and be willing to travel throughout Prince George's County to meet face to face with members, families, providers and other community-based partners.
• Strong interpersonal skills and the ability to engage in a member facing environment (in-person and telephonically) while at the same time building relationships and partnerships.
• Knowledge of available community resources and programs.
• Strong analytical and problem-solving skills to gage and support members' needs on a case-by-case basis.
• Basis understanding of social determinants of health.

Salary Range: $37,080 - $67,980

Travel Requirements :
Estimate Amount: 50-70% field based.

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

#LI-CT1

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Job tags

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Salary