Care Connector

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we would like to connect with you.

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

Role Overview

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.

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.

Education and Experience:

- 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 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.

Skills & Abilities

- Demonstarte 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.
- Demonstarte 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 elctronic medical record and documentation programs.
- Demonstarte 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.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, 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.