Outreach Care Specialist (US)-13

Outreach Care Specialist (US)-13

Outreach Care Specialist - Pensacola, FL

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.

Work hours: Monday – Friday, 8am – 5pm EST, however at least one day a week will be 10am – 7pm. There may be potential for weekend work as business needs dictate.

Simply Healthcare Plans, Inc. is a proud member of the Elevance Health family of companies. We are a health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs. We're working to help make health care simple, so members can focus on what matters most.

The Outreach Care Specialist will be responsible for visiting and engaging in-person with our members in Pensacola, Florida up to 75%+ of the time.

The Outreach Care Specialist – Pensacola, FL 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:

• 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.

Preferred Skills, Capabilities and Experiences:

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
• Experience with complex psychiatric issues and medical disorders is highly preferred.
• Experience in motivational interviewing and health coaching is preferred.
• Knowledge of Social Determinants of Health (SDOH), barriers and resources.
• Comfortable working with SMI members in their homes and/or in the community.
• Bilingual Spanish communication skills preferred.

Job Level: Non-Management Non-Exempt

Workshift: Job Family: MED > Care Coord & Care Mgmt (Non-Licensed)

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.