Outreach Care Specialist II
Elevance Health

Job Info

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Outreach Care Specialist II

Location: This is a remote position. Candidates must be within 50 miles of one of our PulsePoint locations.

The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

How you will make an impact :

• 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.
  
• Serves as preceptor for new associates and participates in or leads projects with cross-functional teams.
  

Minimum Requirements:

• Requires a H.S. diploma or equivalent and a minimum of 3 years of related experience; or any combination of education and experience which would provide an equivalent background.
  

Preferred Skills, Capabilities & Experiences:

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
  
• Strong communication skills preferred
  

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