Florida Blue Community Specialist, Spanish/Creole Bilingual, Onsite Sunrise, FL

Job Summary
Join our Direct-to-Consumer team and help members achieve better health. As a Community Specialist, you'll manage customer experiences in a Florida Blue Center environment, assessing needs, educating on benefits, and referring to resources. You'll also assist members with healthcare choices and social services, such as healthcare and government assistance. Additionally, you'll develop care plans to meet healthcare goals and remove barriers to care, working with internal and external resources. Sources of contacts include internal teams, member self-service, and external vendors.

What you will be doing:

• 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  
• Assist members using motivational interviewing and health coaching skills to learn about financial, emotional, psychosocial, transportation, isolation and food insecurity issues  
• Assist members obtain appropriate community resources, e.g. elder care, Medicare, Medicaid, Faith Based Organizations, local foundations  
• Collaborate with internal and external partners to remove barriers access to care. Identify and implement continuous improvement opportunities  
• Coordinate care for members as appropriate based on care/treatment plan and benefit limitations. 
• Identify and refer members to appropriate care programs.  
• Provide consultation to case managers; maintain resource site 
• Operates as a member advocate utilizing skills that respect issues of cultural and ethnic diversity and equity for every patient and family. 
• Engage with members to coordinate services, build loyalty and develop trusting relationships; Assess member’s end of life planning and provide appropriate resources and referrals to assist members  
• Improve member retention by connecting members to the right services at the right time and place  
• Attend and host external events promoting center activities while fostering community relationships. 

What you must have:
3+ years related work experience in Healthcare  and Managed Care, assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources. 
Related Bachelor's degree in Social work or related field 
Certified Health Coach, CHC (or obtainable within180 Days)
Extensive knowledge of community resources 
Broad knowledge of healthcare industry 
 

What is preferred:
LCSW - Licensed Medical Social Worker - State Licensure 
Excellent computer skills Masters Degree in Social Work 

Bi-lingual Spanish 

Strong ties to community or community based resources 
 

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
 

Physical/Environmental Activities:
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. Occasionally May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. Occasionally 

What We Offer: 
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. 

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
 

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, Short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan includes employer contribution and employer match;
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. 

To support your financial wellbeing, we offer competitive pay as well as opportunities fo