Outreach Care Specialist

Outreach Care Specialist

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.

Minimum Requirements:

• 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.

Preferred Skills, Capabilities, and Experiences:

• Pharmacy/Infusion background preferred.
• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
• Bilingual candidates preferred.
• Experience keeping schedule of home infusion patients preferred.
• Knowledge of Microsoft Office products (Excel, SharePoint, Word, etc).
• Knowledge of Adobe and Smartsheet preferred.
• Knowledge of CareTend preferred.
• Understanding of Home Health contracting preferred.
• Experienced with WFH environment preferred.
• Excellence in self-management of time and organizational skills.

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.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $18.46/hr to $33.50/hr

Location(s): Washington, Colorado, Minnesota, Nevada

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.