Outreach Care Specialist II

3 weeks ago

PALO ALTO, United States Elevance Health Full time

Outreach Care Specialist II

Location: This is a remote position but candidates must live within 50 miles of one of our Elevance Health PulsePoint locations in the Central, Mountain, or Pacific time zone.

The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately 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.

  • Serves as preceptor for new associates and participates in or leads projects with cross-functional teams.

Minimum Requirements:

  • Requires a high school diploma and a minimum of 3 years related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.

  • Bilingual candidates strongly preferred.

  • Experience in a healthcare setting strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $20.39 to $36.70

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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