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Bilingual (Spanish-Speaking) Member Outreach Representative / Community Health Worker – Medicaid & Medicare – Remote in Richmond, VA
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Full-time
high school, professional certificate
Medical, Dental, Vision plans, Adoption, Fertility and Surrogacy Reimbursement, Paid Time Off and Sick Leave, Paid Parental & Family Caregiver Leave, Emergency Backup Care, Long-Term, Short-Term Disability, and Critical Illness plans
Posted 18d ago
~40 hrs/week
Responsibilities
The role involves conducting telephonic and field outreach to pregnant and postpartum members to provide education on health benefits and community resources. Responsibilities include performing health assessments, identifying barriers to care, and promoting preventive services like immunizations.
Requirements
Candidates must be bilingual in Spanish and English with at least 2 years of experience in customer relations, health coaching, and clerical work. A high school diploma is required, and a Community Health Worker certification must be obtained within 6 months of hire.
Full job description
City/State
Richmond, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring an Bilingual (Spanish-Speaking) Member Outreach Representative / Community Health Worker – Medicaid & Medicare – Remote in Richmond, VA
Status: Full-time, permanent position (40 hours)
Standard working hours: 8 am to 5 pm EST, M-F
Location: Remote in Richmond, Virginia. This role supports both field-based and telephonic outreach to members. Travel to the office is required as needed
Job responsibilities:
Supports pregnant members from pregnancy through 12 months postpartum.
Makes outbound calls to health plan members (Approx. 20 calls/day and subject to change)
Manage the inbound calls from the Welcoming Baby phone line
Educates members about their health plan benefits and available programs.
Completes health assessments and documents member information.
Identifies barriers to care (transportation, access issues, understanding of benefits, etc.).
Encourages members to use preventive services and follow recommended care
Conducts both telephonic and field/community outreach.
Educates members on available maternity benefits, programs, and resources.
Connects members with community resources, classes, WIC, transportation, and other support services.
Promotes well-child visits and immunizations through the Watch Me Grow program through 15 months postpartum
Conducts screenings, health assessments, and referrals to appropriate internal teams when additional support is needed.
Education:
HS – High School Grad or Equivalent REQUIRED
Certification/Licensure:
Must obtain a Community Health Worker (CHW) certification within 6 months of hire
Experience:
Customer Relations- 2 years REQUIRED
Health Coaching – 2 years REQUIRED
Customer Service- 2 years REQUIRED
Clerical- 2 years REQUIRED
Strong proficiency in Microsoft Office
Active Driver’s license in Virginia
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products, including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs, and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search:JR-103330
Talroo – Health Plan
Keywords: Medicaid, Managed Care, Health Plan, Health Insurance, MCO, Member Outreach, Medicare, DSNP, Bilingual, Spanish-Speaking, Community Health Worker, Remote, Richmond, VA, Virginia
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work,Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Related keywords
MedicaidMedicareManaged CareHealth PlanMCODSNPBilingualSpanish-SpeakingCommunity Health WorkerWICWatch Me GrowPreventive ServicesHealth InsuranceMember OutreachPostpartum Care
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018).
Like us on Facebook at www.facebook.com/sentarahealth
Follow us on Instagram at @SentaraHealth
Offices: 1300 Sentara Park, Virginia Beach, Virginia 23464, US
Health careHealth CareRehabilitationNon ProfitMedicalAssociationHome Health Care
Based on 2732 listings with disclosed salaries, most healthcare jobs in Virginia pay between $62k–$163k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Virginia right now?
There are currently 15,488 open healthcare positions in Virginia listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Virginia?
Companies currently hiring include Sentara Health, UVA Health, Inova Health, CVS Health, Riverside Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Virginia?
Yes — 1332 of the 15488 open healthcare positions offer remote or hybrid work (554 remote, 778 hybrid).
How do I apply for Healthcare jobs in Virginia?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
