Outreach Care Specialist (US)

Elevance Health•Metairie, LA

2d•Hybrid

About The Position

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. The Outreach Care Specialist will be 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.

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.

Nice To Haves

Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
Certification as a Community Health Worker, preferred.
Experience working in the community, preferred.
Experience working with individuals and families dealing with chronic health conditions, behavioral health issues, and disabilities preferred.
Proficient phone skills, preferred.
Experienced and comfortable with taking directions, following processes, and coordinating care plan needs, preferred.
Bilingual candidates preferred.
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Bilingual or multi-language skills may be required.

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 and/or assist with SDoH needs.
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.