Outreach Care Specialist
About The Position
The Outreach Care Specialist ensures that appropriate member treatment plans are followed in less complex cases and proactively identifies ways to improve members’ health and meet quality goals. The role coordinates follow-up care, assesses members’ compliance with treatment plans by telephone or on-site visits, addresses barriers to compliance, and works with case management and providers to recommend treatment plan modifications or additional services. It also connects members with local, state, or federally funded programs, coaches members on reducing health risks, documents case and compliance updates, and maintains relationships with agencies identified in applicable contracts. The position is virtual full-time, with required in-person training sessions. The stated schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time. Candidates are expected to reside within a reasonable commuting distance of the posting location unless an accommodation is granted; the Eastern time zone is preferred.
Requirements
- High school diploma or equivalent, and at least 1 year of related experience; alternatively, an equivalent combination of education and experience.
- Proficiency in Microsoft Suite applications.
Nice To Haves
- Certified nurse assistant or certified medical assistant certification.
- Bachelor of Arts or Bachelor of Science degree in a related field.
- Bilingual skills.
Responsibilities
- Coordinate follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
- Assess member compliance with medical treatment plans by telephone or through on-site visits.
- Identify barriers to plan compliance and coordinate resolutions.
- Identify opportunities that affect quality goals and recommend process improvements.
- Recommend treatment plan modifications and determine the need for additional services in conjunction with case management and providers.
- Coordinate identification of and referral to local, state, or federally funded programs.
- Coach members on ways to reduce health risks.
- Prepare reports documenting case and compliance updates.
- Establish and maintain relationships with agencies identified in the appropriate contract.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs, unless covered by a collective bargaining agreement
- Medical benefits
- Dental benefits
- Vision benefits
- Short- and long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
