Onsite Community Specialist (Sunrise, FL)

WebTPA•Sunrise, FL

1d•Onsite

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. 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. Important to Know Onsite Monday - Friday from 9:00am - 5:30pm with occasional weekend hours for events Office is located in Sunrise, FL and the applicant must reside in Sunrise or a city in Broward county Travel required for training, meetings, conferences

Requirements

3+ years related work experience in 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 Social work
Certified Health Coach, CHC 180 Days
Extensive knowledge of community resource
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

Master’s degree Social Work
LCSW - Licensed Medical Social Worker - State Licensure
Bi-lingual Spanish and/or Creole
Strong ties to community and social resources
Ability to create visually compelling presentations that effectively delivers key messages

Responsibilities

Identify psychosocial status, economic and physic al 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 considerations 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

As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
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 including employer match
Paid time off, volunteer time off, 10 holidays and 2 well-being days
Additional voluntary benefits available; and a comprehensive wellness program
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.