Company Overview:

As one of the Washington Metropolitan area’s fastest-growing IT companies, we are always looking for creative, passionate, and responsible employees. We acknowledge that intelligent, dedicated employees are our greatest asset and are continuously adding to our talented and diverse team. If you feel innovation, integrity, and a drive to deliver are key components to success, we invite you to become Enlightened.

Work Arrangement:

This position supports AmeriHealth Caritas DC as an Enlightened employee assigned to the client contract. The role requires in-person engagement with members in their homes, healthcare settings, provider offices, and other community locations, along with telephone and electronic outreach. Associates are responsible for their commuting costs; however, the company offers a commuter benefits program to assist with eligible expenses.

Compensation: The approved pay rate is $24.50 per hour, with a higher rate of $26.00 per hour for bilingual candidates

Position Responsibilities:

Under the supervision of the Community Outreach Solutions Team Supervisor, the Community Health Worker (CHW) helps members understand their benefits, navigate healthcare services, and access resources that support their health and well-being.

This individual communicates care management and health promotion information, helps address social determinants of health, and supports community outreach programs. The CHW may also collect key biometrics during home or community visits to support members’ care management goals and health promotion activities.

Engage members by phone, text, in their homes, and in healthcare or community settings to provide education and assistance.
Help members arrange transportation, fill prescriptions, schedule provider appointments, and understand next steps following hospital or emergency room discharge.
Follow up with members to share information from their care manager and help them understand their care plan, when applicable.
Collect and document information about members’ home environments and social determinants that may affect their health.
Conduct outreach regarding gaps in care, Medicaid eligibility expiration, upcoming programs, and available benefits.
Use approved communication tools, including two-way texting and letters generated through clinical information systems, to follow up on unsuccessful outreach attempts.
Present AmeriHealth Caritas DC benefits and explain how to access services in individual and group settings.
Educate members about Medicaid recertification and managed care plan enrollment through the enrollment broker process.
Help members understand the benefits of establishing a primary care medical home and a dental home.
Collaborate with provider staff to connect members with a primary medical home and support ongoing care.
Use company resources to resolve benefit administration issues, confirm eligibility and appointments, and schedule gap-in-care, HEDIS, and EPSDT appointments.
Support health fairs, community events, targeted outreach, and care management programs.
Maintain accurate and timely documentation of member encounters, activity logs, and other required records.
Participate in special projects, follow applicable policies and procedures, and perform other duties as assigned.

Required Qualifications:

High school diploma or GED equivalent.
Two to five years of healthcare, social work, human services experience, or equivalent experience.
Excellent listening, verbal, and written communication skills.
Strong relationship-building and counseling skills.
Strong organizational, scheduling, planning, time management, and follow-up skills.
Ability to work effectively with diverse populations.
Ability to work independently and collaboratively with a team.
Ability to identify and connect members with appropriate community resources.
Knowledge of community needs, health issues, and health and social service systems.
Self-motivation and strong attention to detail.
Ability to conduct visits in members’ homes and other community locations.
Ability to transport health promotion materials weighing up to 50 pounds, with reasonable accommodation as applicable.

Preferred Qualifications:

Home Health Aide and/or Direct Service Professional certification, or equivalent.
Associate’s degree in Business Administration.
Broad knowledge of the healthcare industry and marketplace.
In-depth knowledge of and experience working in the assigned community.
Working knowledge of Microsoft Office Suite.
Current driver’s license.

Benefits:

Actual compensation will be determined based on experience and qualifications, internal equity, and alignment with market data.

At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:

Medical, dental, and vision insurance, with Health Savings Accounts (HSA)
Flexible Spending Accounts (FSA)
401(k) Retirement Plan
Paid holidays, vacation, and sick leave
Professional training and development reimbursement

Please note, these benefits are available exclusively to full-time employees of Enlightened.

Equal Opportunity Statement:

Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability, or any other federal, state, or local protected class. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Enlightened, Inc.

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