Outreach Care Specialist (Virginia Only)
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 members and meet quality goals. This is a virtual role, enabling associates to work virtually full-time, with the exception of required in-person training sessions. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Elevance Health is a Fortune 25 health company dedicated to improving lives and communities and making healthcare simpler, looking for leaders passionate about making an impact on members and the communities they serve.
Requirements
- H.S. diploma or equivalent.
- Minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
- Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills (for URAC accredited areas).
Nice To Haves
- Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
- Microsoft Excel experience preferred.
- Bilingual candidates preferred.
- Bilingual or multi-language skills may be required (for Carelon - CareBridge business unit).
Responsibilities
- Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
- 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.
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) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
