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Outreach Care Specialist

1 month ago

Orlando, United States Elevance Health Full time

Outreach Care Specialist - Florida

Location : This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida .

Work Schedule : Monday - Friday, Flexibility to work between 8am - 7pm EST and weekend availability as needed.

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.

How you will make an impact :

  • 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.

Minimum Requirements :

  • Requires a high school diploma and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

  • Experience with complex psychiatric issues and medical disorders is highly preferred.

  • Experience in health coaching and motivational interviewing techniques.

  • Experience with working in the field across multiple community settings.

  • BS/BA degree in a related field preferred.

  • Bilingual communication skills in English and Spanish preferred.

  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.