Elevance Health - Miami, FL
posted 4 days ago
Full-time - Entry Level
Miami, FL
Insurance Carriers and Related Activities
About the position
The Community Health Coordinator is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. This is a field-based position (50% - 75% of the time) located in Florida, where candidates will support the community they reside in. The work schedule is Monday to Friday, with flexibility to work between 8am - 7pm EST and weekend availability as needed.
Responsibilities
- Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
- Assesses member compliance with medical treatment plans via telephone or through on-site visits.
- Identifies barriers to plan compliance and coordinates resolutions.
- Identifies opportunities that impact quality goals and recommends process improvements.
- Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
- Coordinates identification of and referral to local, state or federally funded programs.
- Coaches members on ways to reduce health risks.
- Prepares reports to document case and compliance updates.
- Establishes and maintains relationships with agencies identified in appropriate contract.
Requirements
- Requires a high school diploma and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
Nice-to-haves
- Experience with complex psychiatric issues and medical disorders is highly preferred.
- Behavioral health experience preferred.
- Experience with working in the field across multiple community settings.
- Knowledgeable in social determinants of health interventions (SDOH).
- Bilingual communication skills in English and Spanish preferred.
- Prior experience working with Medicaid providers preferred.
- Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
- HIPP experience preferred.
- Excellent customer service skills.
- Ability to manage high caseloads.
- Strong problem solving skills preferred.
- Salesforce experience preferred.
- Experience in health coaching and motivational interviewing techniques.
- Certified nurse assistant or certified medical assistant.
Benefits
- $1,500 Sign On Bonus
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
