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Community Health Worker (Outreach Care Spec. I/II) Winston-Salem NC

Anthem Winston-Salem, NC
  • Posted: over a month ago
  • Full-Time
  • Benefits: Vision, Medical, Life Insurance, 401k, Dental

**NOTE: You must apply online at our corporate website. Link provided below:

https://careers.antheminc.com/jobs/outreach-care-specialist-i-or-ii-community-health-worker-winston-salem-nc-region-ps25217-43793

Your Talent. Our Vision. At Healthy Blue, a strategic alliance of Blue Cross NC and Amerigroup, an Anthem Inc. company, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Have you ever helped a family member or friend to get health care services?

Are there things harming your community’s health that you feel passionate about changing?

…If the answer is yes, this may be the job for you!

Every day, we care for patients in our hospitals and doctor’s offices. We try our best to keep them feeling well so that can live their lives to the fullest, but life can be tough, which makes it difficult for people to stay healthy and get better when they are sick. Patients have worries such as: “How will I get to the pharmacy to get my prescriptions filled?” “Who will watch my children while I go to the doctor?” and “Will I have food, transportation and housing?”

The Outreach Care Specialist (Community Health Worker) can help patients address the social, medical and community problems that lead to poor health. The goal is to help patients deal with the ‘real life’ issues that keep them from staying healthy, help with the tasks of getting medical care, and work on health goals by doing things like planning healthy meals or finding time to exercise.

Outreach Care Specialist I or II (Community Health Worker)

Winston-Salem, NC Region PS25217

NC Region 2 Winston-Salem Region (Alleghany, Ashe, Davidson, Davie, Forsyth, Guilford, Randolph, Rockingham, Stokes, Surry, Watauga, Wilkes, Yadkin counties)

Responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

Primary duties may include, but are not limited to:

• 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.

• Serves as preceptor for new associates and participates in or leads projects with cross-functional teams.

Qualifications

Outreach Care Specialist I:

• Requires a high school diploma; 1 year of related experience; or any combination of education and experience, which would provide an equivalent background.

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.

• Bilingual candidates preferred.

Outreach Care Specialist II:

• Requires a high school diploma; 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.

• Bilingual candidates preferred.

Desired Candidate Qualities:

• Long-time resident of the community that we serve with knowledge of the resources available in this community

• Ability to exercise judgment in the application of professional services

• Comfortable with home visits and outreach and prior experience as an outreach worker would be a plus!

NOTE: Manager will determine if the position will be filled as a level I or II based on experience.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran

Anthem

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Address

Winston-Salem, NC
USA

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