Clinical Outreach Specialist- LPN

BlueCross BlueShield of Tennessee • Chattanooga, TN

3d • Remote

About The Position

The Quality Improvement team at BCBST is seeking a Clinical Outreach Specialist – LPN to join the team! In this role, you will provide targeted telephonic outreach to members with positive preventive screening or diagnostic results. You will also apply clinical judgment to explain results, associated risks, and the importance of timely follow‑up, while addressing member questions and concerns within an established scope of practice. As a key clinical resource, you ‘ll reinforce provider‑recommended next steps, supports care navigation and Population Health referrals, and partner with internal teams and vendors to confirm follow‑up completion, address barriers, and ensure accurate documentation. This position supports HEDIS performance and quality improvement efforts and is ideal for an LPN experienced in: Leading proactive, preventive health outreach to engage and support member populations Educating members clearly and effectively on available health and wellness programs Diagnostic screenings to support early detection and coordinated care Using enterprise approved AI tools to support care coordination, decision making, and workflow efficiency Note: This is a fully remote role, with the opportunity to volunteer at Community events. Sponsorship is not available for this role.

Requirements

• Active, unrestricted Licensed Practical Nurse (LPN) license
• 2 years experience in patient/member education, clinical follow-up, or care coordination
• Knowledgeable of HEDIS measures, claims billing guidelines and health plan standards.
• Familiarity with preventive screening workflows and vendor supported outreach
• Strong communication skills with the ability to translate clinical concepts into member-friendly language
• Comfortable working with sensitive health information and high-risk scenarios
• Ability to explain screening and diagnostic results, associated risks, and follow‑up importance in clear, empathetic terms

Nice To Haves

• HEDIS experience preferred

Responsibilities

• Conduct targeted outbound outreach to members with positive screening or diagnostic results following vendor notification.
• Apply LPN clinical judgment to explain test results, associated risks, and the importance of timely diagnostic follow-up.
• Address member questions and concerns requiring clinical interpretation, including anxiety related to results.
• Reinforce provider‑recommended next steps without establishing or managing a plan of care. and refer members to Population Health Programs as appropriate.
• Confirm follow-up completion and assist with navigating barriers in collaboration with internal teams and vendors.
• Document outreach activities, member responses, and outcomes in designated systems and share trend insights with quality leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree