Community Health Navigator

About the role

As part of the Care Management/Case Management department, the Community Health Navigator supports the development and execution of Blue Cross Complete of Michigan’s member outreach strategy to impact health outcomes, health care costs, and member engagement. This position establishes and cultivates relationships with members, community stakeholders, and providers via phone, mail, e-mail, and personal visits. Face-to-face member visits at a member’s home or a community organization are essential to the role. This is a remote field-based position requiring travel mainly in Wayne County.

Responsibilities

• Develop and execute member outreach strategies to improve health outcomes, reduce health care costs, and enhance member engagement.
• Establish and cultivate relationships with members, community stakeholders, and providers through various communication channels, including phone, mail, email, and in-person visits.
• Conduct face-to-face visits with members at their homes or community organizations.

Requirements

• Associate’s Degree in Healthcare, Human Services, related field, or equivalent work experience. Bachelor’s Degree preferred.
• Minimum of two (2) years of health care experience in an office, clinic, or hospital setting, or human services experience, or equivalent school experience.
• Community-based experience through volunteerism, employment, or education (preferred).
• Valid Michigan Driver’s License, valid car insurance, and reliable transportation.
• Ability to lift up to 25 pounds.

Skills & Abilities

• Basic knowledge and understanding of managed care, medical terminology, and disease processes.
• Effectively communicate preventive health and health management philosophies to individual members, small groups, and external agencies (preferred).
• Comprehensive knowledge of Medicaid requirements, plans, policies, and procedures (preferred).