Community Resource Navigator - Remote (PA/NJ/DE)
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Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Under the supervision of the Case Management Manager, the Community Resource Navigator provides targeted outreach to members predicted to be experiencing social determinants of health (SDOH) challenges. This role focuses on assessing psychosocial needs, and coordinating services to address barriers such as housing instability, food insecurity, transportation, and access to care. The “Service Connector” serves as a liaison between members, families, the health plan, and community resources to promote health equity and improve member outcomes.
Key Responsibilities:
- Conduct outreach to members with potential SDOH-related needs and perform psychosocial assessments.
- Educate members and families on available benefits, programs and community resources.
- Coordinate referrals to internal programs and external agencies
- Document all interactions and interventions in the managed care system using standardized questionnaires and templates.
- Identify community-based services for members and build relationships with local organizations.
- Generate internal referrals to clinical team including nurse health coaches and social workers as needed
- Perform other duties as assigned.
Qualifications:
- Education: Bachelor’s degree, preferred in social work, psychology or human services
- Experience: Minimum of 3-5 years of experience, with a strong focus on addressing social determinants of health and working with vulnerable populations, including seniors
- Skills:
- Strong interpersonal, communication, and organizational skills
- Proficiency in documentation and use of care management systems
- Knowledge of community resources and social service systems
- Strong interpersonal, communication, and organizational skills
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
AmeriHealth Casualty has been successfully returning employees to work since 1994, providing quality medical treatment and care and reducing costs for our customers. With our affiliates, we serve more than 1,800 businesses in the area and have offices in Philadelphia, Camp Hill, and Pittsburgh, PA, and Mount Laurel, NJ.
In 1994, CompServices, Inc. began offering workers’ compensation third-party administration services for manufacturers, municipalities, health care facilities, social services, transportation risk, universities, and retail firms. In 1996, AmeriHealth Casualty Insurance Company was established as an extension of our workers’ compensation claims services — its mission to provide workers’ compensation insurance combined with high quality claims service and cost containment.
AmeriHealth Casualty Insurance Company and CompServices write premiums and administer self-insured programs for over 1,800 customers.
Equal Employment Opportunity
AmeriHealth Casualty is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Casualty employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Casualty and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Casualty or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.