Community Engagement Navigator - Children and Families Specialty Plan at Elevance Health

North Carolina, United States

Elevance Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
NoVisa
Healthcare, Social ServicesIndustries

Requirements

  • North Carolina residency required
  • Reside in Region 3
  • BA/BS degree in Public Health, Social Work, Rehabilitation Counseling or related field
  • Minimum of 2 years’ experience
  • Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
  • Strong verbal and written communication skills, both with virtual and in-person interactions
  • Attentive to details, critical thinker, and a problem-solver
  • Demonstrates empathy and persistence to resolve issues completely
  • Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts
  • Ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers
  • Structured work schedule with occasional overtime or flexibility based on business needs, including ability to work from the office as necessary
  • Willingness to travel to and remain onsite at assigned DSS agency locations several times a week, and to client sites or designated locations as needed

Responsibilities

  • Engage with members who have been identified as possessing significant SDOH barriers
  • Collaborate with members, interdisciplinary teams, and external stakeholders to identify goals and develop care plans that address barriers related to Social Determinants of Health (SDOH), physical and behavioral health needs, and gaps in care
  • Support members in accessing healthcare services and resources, while assisting with the development, maintenance, and engagement in new relationships
  • Interface with Care Managers to ensure that the individualized plan is aligned with existing or needed case management efforts
  • Act as a liaison between community stakeholders and the health plan
  • Perform other duties as assigned

Skills

Community Navigation
Care Coordination
Medicaid
Child Welfare
Behavioral Health
Case Management
Social Services
Family Support
DSS Collaboration
Health Integration

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

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