The position is a hybrid work environment  -  the job will entail some remote work and some travel requirements.  

Community Connections Representative

Full time for Excellus Blue Cross Blue Shield in the Utica, NY area.

This position assists the Health Plan in establishing a presence in the community through home visits and community outreach.

This position requires working occasional evenings and weekends for outreach and community events.

Essential Responsibilities/Accountabilities:

* Educates Medicaid, Medicare, and Commercial members on health care benefits, and community resources through home visits and outreach.

* Assists members with activities related to accessing care.

* Answers questions from members regarding Case Management Program, eligibility, and benefits.

* Documents information and activities in applicable systems.

* Educates and answers questions related to government cell phone programs use and navigation.

* Coordinates and implements community events, including Baby Showers, school events, health fairs and various community initiatives.

* Scheduled and unscheduled home visits for noncompliance, gaps in care, community resource needs, and other high-risk issues.

* Conducts targeted phone calls for compliance, HEDIS initiatives and health risk assessments.

* Collaborate with Case Management on the status of high-risk member referrals.

* Collaborate with community partners in all service areas.

* Assists in finding and connecting members to community social services and agencies.

* Deliver community resources to members as needed.

* Enroll or refer qualified members in a Health Home.

* Acts as a support to assist the Clinical Operations Department as needed.

* Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

* Regular and reliable attendance is expected and required.

Minimum Qualifications:

* High school diploma or GED is required. Associates degree preferred.

* Minimum of two years of social services, community outreach, or education experience required.

* Bilingual ability preferred.

* Must have and maintain valid driver's license.

* Must have and maintain reliable vehicle

* Must have and maintain current vehicle registration.

* Must be able to drive in all-weather conditions.

* Must be experienced in Excel and Word.

Physical Requirements:

* Must be able to drive independently within the Health Plan regions.

* Must be able to lift at least 15lbs.

Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.

Compensation Range(s):

LGrade 108: Minimum $18.55 - Maximum $26.90

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

Equal Opportunity Employer.

Candidates may apply online at https://careers.excellusbcbs.com/us/en/job/EXBCUSJR100136EXTERNALENUS/Community-Connections-Representative .

Here is a link to a video that also provides additional information about this role: https://www.youtube.com/watch?v=3L5SxDDXdtU