Florida Blue Community Specialist, Spanish/Creole Bilingual, Onsite Sunrise, FL

Guidewell • Sunrise, FL

296d • $62,500 - $101,500

About The Position

Love engaging with people to help them achieve better health? Come join the exciting, rapidly expanding Direct-to-Consumer team. We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being. While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools and programs and referring to Florida Blue programs and resources as appropriate. Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels. The Community Specialist will assist members manage their daily lives, understand and make difficult health care choices and obtain social services, such as health care and government assistance. The position will develop and implement care plans to assist members meet their healthcare goals while working with internal and external resources to remove barriers to receiving care.

Requirements

• 3+ years related work experience in the Healthcare Industry and Managed Care, assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources, etc.
• Related Bachelor's degree required in Social Work.
• Certified Health Coach, CHC within 180 Days.
• Extensive knowledge of community resources.
• Broad knowledge of healthcare industry.
• Strong problem solving skills.
• Strong collaboration skills.
• Ability to listen, ascertain needs, and determine appropriate action within defined scope of authority.

Nice To Haves

• LCSW - Licensed Medical Social Worker - State Licensure.
• Excellent computer skills.
• Masters Degree in Social Work.
• Bi-lingual Spanish.
• Strong ties to community and social resources.

Responsibilities

• Identify psychosocial status, economic and physical needs of members; assess patient's support systems, available community resources and other factors to plan, develop, and implement an appropriate plan of care.
• Serve as members' point of contact as needed to provide education regarding benefits, network, network access and community and government agencies that are available to assist members when benefits are not available or exhausted.
• Assist members using motivational interviewing and health coaching skills to learn about financial, emotional, psychosocial, transportation, isolation and food insecurity issues.
• Assist members obtain appropriate community resources, e.g. elder care, Medicare, Medicaid, Faith Based Organizations, local foundations.
• Collaborate with internal and external partners to remove barriers access to care. Identify and implement continuous improvement opportunities.
• Coordinate care for members as appropriate based on care/treatment plan and benefit limitations.
• Identify and refer members to appropriate care programs.
• Provide consultation to case managers; maintain resource site.
• Operates as a member advocate utilizing skills that respect issues of cultural and ethnic diversity and equity for every patient and family.
• Engage with members to coordinate services, build loyalty and develop trusting relationships; Assess member's end of life planning and provide appropriate resources and referrals to assist members.
• Improve member retention by connecting members to the right services at the right time and place.
• Attend and host external events promoting center activities while fostering community relationships.

Benefits

• Medical, dental, vision, life and global travel health insurance.
• Income protection benefits: life insurance, Short- and long-term disability programs.
• Leave programs to support personal circumstances.
• Retirement Savings Plan includes employer contribution and employer match.
• Paid time off, volunteer time off, and 11 holidays.
• Additional voluntary benefits available.
• A comprehensive wellness program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree