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Outreach Care Specialist

4 months ago


Waterbury, United States Elevance Health Full time

**Outreach Care Specialist**

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 and Experiences**:

- BS/BA degree in a related field preferred.
- Experience with EHR (electronic health records) systems.
- 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.

Pay: From $23.00 per hour

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

License/Certification:

- Driver's License (preferred)

Work Location: On the road