Care Connector

Amerihealth Caritas•,

7d•Hybrid

About The Position

The Care Connector serves as a proactive member advocate, engaging members in comprehensive health assessments and supporting them in achieving their health and wellness goals. Through individualized outreach and care planning, the Care Connector identifies health risks, barriers to care/HEDIS related health conditions, and opportunities to improve overall health outcomes. This role manages a designated caseload of low-risk members, providing ongoing monitoring, education, and support to improve health outcomes, close care gaps, and promote self-management. The Care Connector focuses on building meaningful relationships with members, coordinating care needs, addressing barriers to care, and empowering members through education and support. Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com

Requirements

High School Diploma or equivalent required.
Minimum two (2) years of experience in healthcare, care coordination, population health, member engagement, or a related field required.
Proficiency using MS Office (Word, Excel, Outlook, Teams), internet applications, and elctronic medical record and documentation programs.
Demonstrate knowledge and experience in assessing members' situations, developing a care plan, and teaching self-management.

Nice To Haves

Healthcare-related certification or training preferred, such as Medical Assistant (MA), Home Health Aide (HHA), Nursing Assitant (CNA), Community Health Worker (CHW), or a similar paraprofessional role.
Experience conducting member assessments and care planning preferred.
Knowledge of medical terminology, chronic conditions, preventative health, and health promotion preferred.

Responsibilities

Conduct comprehensive Health Risk Assessments (HRAs) to identify members' medical, behavioral, and social needs.
Develop individualized, member-centered care plans based on assessment findings, health goals, and identified barriers.
Collaborate with members to establish realistic and measurable health goals and provide ongoing support toward goal achievement.
Review medication regimens with members to identify potential concerns, promote adherence, and support medication management.
Assess and address social determinants of health and other barriers that may impact a member's ability to access care and improve health outcomes.
Identify, review, and educate members regarding preventative care needs and healthcare quality care gaps.
Support members in scheduling and accessing healthcare services, community resources, and health-related programs.
Provide health education and motivational support to encourage healthy behaviors and self-management of chronic conditions.
Document member interactions, assessments, care plans, interventions, and outcomes in accordance with organizational policies and regulatory requirements.
Monitor member progress and update care plans as needs, goals, or health status change.
Manage and maintain a caseload of low-risk members, providing ongoing outreach, assessment, care planning, follow-up, and goal monitoring to support member health and well-being.