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Member Connections Representative II

Durham, North Carolina Apply Now Job ID 1164364 Category Medical Management Organization Carolina Complete Health Schedule Full-time

Position Purpose: Assist the health plan in establishing a presence in the community through home visits and community outreach.

  • Serve as the lead for new Member Connections Representatives, including training and attending home visits with the Representatives
  • Assist with developing and communicating the daily schedules and routes of assigned home visits with MapPoint
  • Identify potential high risk members and reach out to case managers for possible outreach attempts
  • Enter and maintain team productivity log on intranet site
  • Pull various data, including member demographics, from various systems to assist with organizing community events
  • Educate members on health care benefits through home visits and outreach
  • Assist members with activities related to accessing care
  • Document information and activities in applicable systems
  • Deliver Connections Plus(r) cell phones, teach and answer questions related to cell phone use and navigation. Assist with auditing of active devices
  • Coordinate and implement community events, including Start Smart Baby showers and Birthday Parties, school events, healthy life style events and various community initiatives
  • Schedule and complete home visits for noncompliance, benefits informational, ED and readmission diversion and other high risk issues
  • Follow up with appropriate parties on status of high risk member referrals
  • Ability to travel throughout designated region

  • Qualifications:

    Education/Experience: High school diploma or equivalent. Bilingual ability preferred. 4+ years of social services, community outreach, or education experience.

    License/Certification: Valid driver's license and automobile insurance. Some locations may require Community Health Worker certification, CPR certification, and/or bi-lingual.

    For North Carolina Only:

    Must reside in North Carolina

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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