Outreach Care Specialist, CareBridge

Elevance Health•Nashville, TN

2d•Remote

About The Position

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. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business.

Requirements

Requires a H.S. diploma or equivalent and a minimum of 1 year related experience in healthcare; or any combination of education and experience which would provide an equivalent background.
Have experience working in the Healthcare field
Have experience with Care Coordination.

Nice To Haves

Care Coordination experience is highly preferred.
Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.

Responsibilities

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.