Community Health Navigator & Advocate

Your Role The Community Programs team provides high-touch engagement with members and community-based organizations to remove barriers to healthcare access, enhance population health initiatives and advance health equity. The Community Connector Health Advocate will report to the Community Programs Manager, Operations. In this role you will serve as the Blue Shield of California Promise Health Plan’s community expert. You will be responsible for creating meaningful relationships with community-based organizations, participating in community events, and acting as the health plan liaison. In addition, you will assist members with complex health and/or social needs by assessing their immediate needs and addressing barriers to care to include, but not limited to, care coordination, linkages to health plan services and community resources. Job Description Your Role The Community Programs team provides high-touch engagement with members and community-based organizations to remove barriers to healthcare access, enhance population health initiatives and advance health equity. The Community Connector Health Advocate will report to the Community Programs Manager, Operations. In this role you will serve as the Blue Shield of California Promise Health Plan’s community expert. You will be responsible for creating meaningful relationships with community-based organizations, participating in community events, and acting as the health plan liaison. In addition, you will assist members with complex health and/or social needs by assessing their immediate needs and addressing barriers to care to include, but not limited to, care coordination, linkages to health plan services and community resources. This position requires frequent travel locally in San Diego County. The position also requires coverage of evening and weekend events as needed. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Responsibilities Your Work In this role, you will: Assess psychosocial and social determinants of health needs for moderate-risk members and document assessment results or augment available information in appropriate systems Consult with or refer members to licensed staff (social worker, nurse case manager etc.) as required based on member social, health risk and medical complexity Establish relationships and partner with community resources, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools Assist members with problem-solving barriers to moderate health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services Actively engage, build rapport and establish trusting relationships and facilitate collaborative communication with members and members' family support systems Identify and coordinate sponsorship and community investment opportunities Identify and coordinate community event participation Effectively manage workload to achieve productivity standards Document and report on community outreach efforts Qualifications Your Knowledge and Experience Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree Requires at least 3 years of prior relevant experience supporting people with complex health and social needs Requires applied working knowledge of community resources, community agencies, community programs, eligibility pathways, and benefit navigation Requires knowledge of Medi-Cal programs and services Requires strong interpersonal skills Bilingual in Spanish or Arabic - speaking, reading, and writing highly desired About Us About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values: Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility: For most teams, this means coming into the office two days per week. Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews. Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. JOB INFO Job Identification : 20261866 Job Category : Healthcare Services and Operations Posting Date : 2026-09-25T00:11:11+00:00 Job Schedule : Full time Locations : San Diego, CA, United States Pay Range for California : $32.03 to $48.04 Pay Range for Bay Area : $36.10 to $54.16 Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship : No #J-18808-Ljbffr