Outreach Care Specialist (US)
Elevance Health
Outreach Care Specialist (US)
Location: Council Bluffs, Bettendorf, Glenwood- Iowa
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Add the new location verbiage to correspond with Hybrid role type on job posting.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The work schedule for this role is 8am-5pm CST.
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.
Primary duties may include, but are not limited to:
- 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. Coach 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.
Minimum Requirements:
- Requires a high school diploma and a minimum of 1-year related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Qualifications:
- Certified Nurse Assistant or Certified Medical Assistant and/or BS/BA degree in a related field preferred.
- Bilingual candidates preferred.
- Mental Health experience preferred.
- Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Job Level: Non-Management Non-Exempt
Workshift: Job Family: MED > Care Coord & Care Mgmt (Non-Licensed)
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