Remote Outreach Care Specialist
Elevance Health

Outreach Care Specialist

Location : This is a remote position. Ideal candidates will live within 50 miles of one of our PulsePoint office locations.

Work Hours: Monday through Friday, 8:00 AM to 5:00 PM Central

The Outreach Care Specialist is responsible for ensuring that appropriate member treatment plans are followed on less 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.
  

• 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.
  

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
  
• Bilingual candidates preferred.
  
• Experience working in a clinical setting or clinical background strongly preferred.
  
• Experience working with computer applications/digital skills/keyboarding proficiency strongly preferred.
  
• Experience with Microsoft Office suite.
  
• 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.