Love engaging with people to help them achieve better health? Come join the exciting, rapidly expanding Direct-to-Consumer team. We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being. While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools and programs and referring to Florida Blue programs and resources as appropriate. Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels. The GWC Community Navigator will assist members manage their daily lives, understand and make difficult health care choices and obtain social services, such as health care and government assistance. The position will develop and implement care plans to assist members meet their healthcare goals while working with internal and external resources to remove barriers to receiving care.
Identify psychosocial status, economic and physic al needs of members; assess patient's support systems, available community resources and other factors to plan, develop, and implement an appropriate plan of care.
Serve as members' point of contact as needed to provide education regarding benefits, network, network access and community and government agencies that are available to assist members when benefits are not available or exhausted
Required Work Experience
3 years related work experience in the Healthcare Industry and Managed Care or equivalent combination of transferable experience and education.
Assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources, etc.
Bachelor's degree required Social work
Certified Health Coach, CHC 180 Days
Extensive knowledge of community resources
Broad knowledge of healthcare industry
Strong problem solving skills
Strong collaboration skills
Ability to listen, ascertains needs, and determines appropriate action within defined scope of authority.
Master's degree Social Work
LCSW - Licensed Medical Social Worker - State Licensure
Excellent computer skills
Master's Degree in Social Work
Strong ties to community and social resources
Blue Cross Blue Shield Of Florida