Community Resource Navigator - Fully Remote (PA/NJ/DE)

About the Role

Join Independence Blue Cross and contribute to transforming healthcare by enhancing the wellness of individuals and communities. As a Community Resource Navigator under the Case Management Manager's guidance, you will engage in focused outreach to members facing social determinants of health (SDOH) challenges. Your work includes evaluating psychosocial needs and facilitating access to vital services overcoming obstacles like housing instability, food insecurity, transportation issues, and access to care. Acting as a "Service Connector," you will bridge communication between members, their families, the health plan, and community resources to promote equitable health outcomes.

Key Responsibilities

• Identify and reach out to members experiencing potential social determinants of health barriers, conducting thorough psychosocial assessments.
• Inform members and their families about eligible benefits, programs, and community services available to them.
• Organize and manage referrals to both internal initiatives and external community agencies.
• Maintain detailed records of interactions and interventions within the care management system, utilizing standardized templates and questionnaires.
• Locate and establish connections with community-based service providers to support members effectively.
• Create internal referrals to clinical personnel, such as nurse health coaches and social workers, as appropriate.
• Undertake additional tasks as assigned.

Qualifications and Skills

• Education: Bachelor’s degree preferred in social work, psychology, human services, or related fields.
• Experience: Between three to five years working with vulnerable populations, particularly those impacted by social determinants of health, including seniors.
• Competencies: Excellent interpersonal, communication, and organizational skills.
• Proficient in documentation practices and familiar with care management software systems.
• Comprehensive knowledge of community resources and social service frameworks.

Work Arrangement

This position is classified as fully remote by Independence Blue Cross, requiring the incumbent to perform duties remotely within the Tri-State Area covering Delaware, New Jersey, and Pennsylvania. There is no obligation to report to any physical office location.