Outreach Care Specialist
| Company | Elevance Health |
|---|---|
| Location | California, USA, Minnesota, USA, Colorado, USA, New York, NY, USA, Illinois, USA |
| Salary | $18.31 – $34.69 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior |
Requirements
- Requires a H.S. diploma or equivalent and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
Responsibilities
- Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
- Assesses member compliance with medical treatment plans via telephone or through on-site visits.
- Identifies barriers to plan compliance and coordinates resolutions.
- Identifies opportunities that impact quality goals and recommends process improvements.
- Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
- Coordinates identification of and referral to local, state or federally funded programs.
- Coaches members on ways to reduce health risks.
- Prepares reports to document case and compliance updates.
- Establishes and maintains relationships with agencies identified in appropriate contract.
Preferred Qualifications
- Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
- Bilingual candidates preferred.
- For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
- For Carelon – CareBridge business unit, bilingual or multi-language skills may be required.