Bilingual (Spanish-Speaking) Member Outreach Representative / Community Health Worker – Medicaid & Medicare – Remote in Richmond, VA

Sentara Health•Richmond, VA

22d•Remote

About The Position

Sentara Health Plans is hiring a Bilingual (Spanish-Speaking) Member Outreach Representative / Community Health Worker for Medicaid & Medicare. This is a remote, full-time, permanent position (40 hours) based in Richmond, VA. The role supports pregnant members from pregnancy through 12 months postpartum. Responsibilities include making outbound calls, managing inbound calls, educating members on benefits and programs, completing health assessments, identifying barriers to care, encouraging preventive services, conducting telephonic and field outreach, and connecting members with community resources. The role also promotes well-child visits and immunizations, conducts screenings, and makes referrals when additional support is needed.

Requirements

HS – High School Grad or Equivalent REQUIRED
Must obtain a Community Health Worker (CHW) certification within 6 months of hire
Customer Relations- 2 years REQUIRED
Health Coaching – 2 years REQUIRED
Customer Service- 2 years REQUIRED
Clerical- 2 years REQUIRED
Strong proficiency in Microsoft Office
Active Driver’s license in Virginia

Responsibilities

Supports pregnant members from pregnancy through 12 months postpartum.
Makes outbound calls to health plan members (Approx. 20 calls/day and subject to change).
Manage the inbound calls from the Welcoming Baby phone line.
Educates members about their health plan benefits and available programs.
Completes health assessments and documents member information.
Identifies barriers to care (transportation, access issues, understanding of benefits, etc.).
Encourages members to use preventive services and follow recommended care.
Conducts both telephonic and field/community outreach.
Educates members on available maternity benefits, programs, and resources.
Connects members with community resources, classes, WIC, transportation, and other support services.
Promotes well-child visits and immunizations through the Watch Me Grow program through 15 months postpartum.
Conducts screenings, health assessments, and referrals to appropriate internal teams when additional support is needed.

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Annual discretionary bonus if established system and employee eligibility criteria is met.