Bilingual Wellness Navigator
Company: CareFirst BlueCross BlueShield
Posted on: November 22, 2020
Resp & Qualifications
Provides exceptional customer service to CareFirst CHPDC Spanish
members, in person and / or by phone. Works closely with members as
informed advocates or liaisons to guide patients through the health
care system and connects them to community resources. Assist with
community events and outreach initiatives for CareFirst CHPDC. The
Navigator is responsible for event execution, gathering event
information, event and marketing promotion as well as assessment of
health education needs.
Acts as a non-clinical member wellness navigator to assist members
in accessing healthcare services, community wellness programs,
community resources unknown or otherwise unavailable to members
without appropriate referrals.
Helping and engaging members, (both over the phone and in-person),
in facilitating the provision of care as well as utilization of
resources including wellness classes.
Coach and educate members about health improvement and help develop
strategies for obtaining better health, educate about and
coordinate community resources
Accurately maintains daily contact logs, per department policy,
regarding client activity and destinations.
Provides members with culturally appropriate health resources and
Facilitates efforts related to Health Education including the
coordination of meetings, monitoring and assisting with Health
Education related programs and related activities.
Collaborates with staff in Medical Management, Provider Services
and Customer Services Departments to ensure implementation and
educate membership population of community-based health education
Facilitate member empowerment and quality of life by promoting
educated independent, member choice on care.
Maintains databases, mailing lists, telephone networks, and other
information to facilitate the functioning of outreach program.
Maintains accurate daily documentation in database(s) of members
who participated in the health education classes/ workshops, the
number of members outreached to, number of health fairs/community
events participated in.
Provides monthly reports on enrollment and attendance for Health
Education classes and programs.
Assists with evaluation of classes and conducts member satisfaction
surveys at least annually.
Recommends educational brochures and other printed materials to
educate members on diverse topics such as post-partum care, EPSDT
services, disease management programs and HEDIS initiatives.
Participates in community programs and external meetings
representing Trusted and in internal activities that improve HEDIS
Establishes working relationships with practitioners and providers
to encourage member referrals for health education programs.
Provides assistance with developing comprehensive, focused,
continuous program to meet organizational performance goals for
HEDIS and EPSDT.
Maintains a basic knowledge of upcoming events, services and
information regarding the Center and CareFirst CHPDC and Community
collaborative events/ programs.
Guides each assigned member in the appropriate supports needed to
maximize health and wellness
SUPERVISORY RESPONSIBILITY: This job has no supervisory
Two (2) years experience in community relations, outreach and
Must be able to read and write proficiently
*Ability to meet Certified Application Counselor requirements (CAC)
(* requires federal, state and sex offender background check)
High School Diploma Required, BS preferred. Community Health Worker
Advanced degree and/or certifications
This is a Full-Time role, 40 hours a week required.
Monday Friday (up to1-hour unpaid lunch); schedule may vary and
change with minimal notice due to business needs and/or what is
agreed upon with direct supervisor.
Weekends Occasional, if needed.
Ability to travel up to 30%.
To perform the job successfully, an individual should demonstrate
the following competencies:
Analytical - Collects and researches data; Uses intuition and
experience to complement data.
Problem Solving - Identifies and resolves problems in a timely
manner; Gathers and analyzes information skillfully; Develops
alternative solutions; Works well in group problem solving
situations; Uses reason even when dealing with emotional
Project Management - Communicates changes and progress; Completes
projects on time and budget.
Technical Skills - Assesses own strengths and weaknesses; Pursues
training and development opportunities; Strives to continuously
build knowledge and skills; Shares expertise with others.
Customer Service - Manages difficult or emotional customer
situations; Responds promptly to customer needs; Solicits customer
feedback to improve service; Responds to requests for service and
assistance; Meets commitments.
Interpersonal Skills - Focuses on solving conflict, not blaming;
Maintains confidentiality; Listens to others without interrupting;
Keeps emotions under control; Remains open to others' ideas and
tries new things.
Oral Communication - Speaks clearly and persuasively in positive or
negative situations; listens and gets clarification; Responds well
to questions; Demonstrates group presentation skills; Participates
Written Communication - Writes clearly and informatively; Edits
work for spelling and grammar; Varies writing style to meet needs;
Able to read and interpret written information.
Quality Management - Demonstrates accuracy and thoroughness.
Diversity - Shows respect and sensitivity for cultural differences;
promotes a harassment-free environment.
Ethics - Treats people with respect; Keeps commitments; inspires
the trust of others; Works with integrity and ethically; Upholds
Organizational Support - Follows policies and procedures; Completes
administrative tasks correctly and on time; supports organization's
goals and values; Supports affirmative action and respects
Strategic Thinking - Develops strategies to achieve organizational
goals; Understands organization's strengths & weaknesses; Analyzes
market and competition; Adapts strategy to changing conditions.
Judgment - Displays willingness to make decisions; Includes
appropriate people in decision-making process; makes timely
Motivation - Sets and achieves challenging goals; Demonstrates
persistence and overcomes obstacles.
Planning/Organizing - Prioritizes and plans work activities; Uses
time efficiently; Plans for additional resources.
Professionalism - Approaches others in a tactful manner; Reacts
well under pressure; Treats others with respect and consideration
regardless of their status or position; Accepts responsibility for
own actions; Follows through on commitments.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to
improve and promote quality; Applies feedback to improve
performance; Monitors own work to ensure quality.
Safety and Security - Observes safety and security procedures;
Reports potentially unsafe conditions.
Adaptability - Adapts to changes in the work environment; Manages
competing demands; Changes approach or method to best fit the
situation; Able to deal with frequent change, delays, or unexpected
Attendance/Punctuality - Is consistently at work and on time;
Ensures work responsibilities are covered when absent; Arrives at
meetings and appointments on time.
Dependability - Follows instructions, responds to management
direction; Takes responsibility for own actions; Keeps commitments;
Commits to long hours of work when necessary to reach goals;
Completes tasks on time or no
Keywords: CareFirst BlueCross BlueShield, Washington DC , Bilingual Wellness Navigator, Other , Washington, DC
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