[Hiring] Care Connector @Amerihealth Caritas

Role Description

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.

• 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.

Qualifications

• 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.
• Healthcare-related certification or training preferred, such as Medical Assistant (MA), Home Health Aide (HHA), Nursing Assistant (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.

Requirements

• Demonstrate ability to be self-directed, independent, adaptive, flexible to change, and able to collaborate as a team member in a fast-paced, ever-changing environment.
• Demonstrate awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population.
• Proficiency using MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record and documentation programs.
• Demonstrate strong organizational and time management skills with the ability to promptly prioritize and follow through on multiple items.
• Demonstrate knowledge and experience in assessing members' situations, developing a care plan, and teaching self-management.

Benefits

• Flexible work solutions include remote options and hybrid work schedules.
• Competitive pay.
• Paid Time Off (PTO), including holidays and volunteer events.
• Health insurance coverage for you and your dependents on Day 1.
• 401(k).
• Tuition reimbursement.
• And more.