Managed Care Outreach Specialist

Brightli•Hannibal, MO

5d•Onsite

About The Position

Centerstone is seeking a compassionate, relationship-driven Managed Care Outreach Specialist to support individuals in accessing healthcare services, navigating insurance and managed care programs, and overcoming barriers that impact their health and well-being. In this role, you will serve as a vital link between patients, healthcare providers, managed care organizations, and community resources. You will proactively engage individuals who may benefit from healthcare services, connect them with appropriate programs and support, and help ensure they receive the care and resources needed to achieve better health outcomes. If you're passionate about helping others, improving access to care, and making a meaningful impact in your community, we'd love to hear from you!

Requirements

High School Diploma or equivalent.
Valid driver's license, reliable transportation, and current auto insurance.
Tuberculosis (TB) screening required for all direct care staff.
Understanding of managed care principles, healthcare access, social determinants of health, and patient engagement strategies.
Strong relationship-building, customer service, and communication skills.
Ability to effectively engage individuals from diverse backgrounds and communities.
Excellent organizational skills with strong attention to detail.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency in Microsoft Office applications including Outlook, Excel, Teams, and Word.
Ability to work independently and collaboratively within a multidisciplinary team.

Nice To Haves

Associate's or Bachelor's degree in Public Health, Healthcare Administration, Social Work, Human Services, Business, or a related field.
Knowledge of Medicaid, Medicare, Qualified Health Plans (QHPs), and healthcare enrollment processes preferred.
Two (2) years of experience in healthcare outreach, managed care, member services, patient navigation, community health, case management, customer service, or a related field.
Managed care or health plan operations
Medicaid or Medicare enrollment
Patient advocacy and navigation
Healthcare customer service
Community outreach and engagement
Public speaking and health education
Data entry and documentation
Behavioral health or healthcare settings

Responsibilities

Conduct outreach to individuals enrolled in or eligible for managed care, Medicaid, Medicare, and other healthcare programs.
Build trusting relationships with patients through phone, virtual, community, and in-person outreach efforts.
Educate individuals on available healthcare services, preventative care programs, and wellness resources.
Promote healthcare engagement by encouraging participation in appointments, screenings, and care plans.
Assist with outreach campaigns designed to improve health outcomes and care compliance.
Serve as a liaison between patients, providers, managed care organizations, and community partners.
Assist individuals in navigating healthcare, behavioral health, and social service systems.
Identify barriers to care, including transportation, housing, food insecurity, and access issues, and help connect patients with appropriate resources.
Support care management initiatives, including chronic disease management, preventative care, and patient education.
Conduct follow-up outreach to ensure individuals receive needed services and support.
Educate patients about healthcare coverage options and available managed care programs.
Assist individuals with eligibility determination, enrollment activities, and healthcare plan selection.
Help patients understand benefits, coverage options, and available support services.
Partner with managed care organizations to support continuity of care and member engagement initiatives.
Develop and maintain relationships with community organizations, service providers, and referral partners.
Connect individuals to community-based resources that support overall health and wellness.
Participate in health fairs, outreach events, and community engagement activities.
Advocate for patient needs and promote culturally responsive, person-centered care.
Maintain accurate documentation and data entry in accordance with organizational and regulatory requirements.
Track outreach efforts, enrollment activities, referrals, and patient outcomes.
Collaborate with multidisciplinary teams to improve patient engagement and health outcomes.
Participate in quality improvement initiatives, department projects, and other duties as assigned.

Benefits

29 Days of Paid Time Off (PTO)
HRSA Loan Repayment Eligibility (requirements apply)
Comprehensive Medical, Dental, and Vision Insurance
Competitive 403(b) Retirement Plan with up to 5% Employer Match
Company-Paid Basic Life Insurance
Emergency Medical Leave Program
Flexible Spending Accounts (Healthcare & Dependent Care)
Employee Assistance Program (EAP)
Employee Wellness Program
Employee Discount Program
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness