Care Specialist
4 days ago
Join Elevance Health as an Outreach Care Specialist and make a meaningful impact on the lives of our members. As a key member of our team, you will play a vital role in ensuring our members receive the care and support they need to thrive.
About the Role:We are seeking a highly motivated and compassionate individual to join our team as an Outreach Care Specialist. In this role, you will be responsible for providing individual and family support to ensure members are connected to community services, resources, and necessary care coordination. You will work collaboratively with our team, families, consumers, community collaborative members, stakeholders, and providers to ensure the appropriate services are available to designated members.
Key Responsibilities:- Coordinate follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
- Assess member compliance with medical treatment plans via telephone or through on-site visits.
- Identify barriers to plan compliance and coordinate resolutions.
- Identify opportunities that impact quality goals and recommend process improvements.
- Recommend treatment plan modifications and determine need for additional services, in conjunction with case management and provider.
- Coordinate identification of and referral to local, state, or federally funded programs.
- Coach members on ways to reduce health risks.
- Prepare reports to document case and compliance updates.
- Establish and maintain relationships with agencies identified in appropriate contract.
- 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.
- Experience and familiarity with community resources in the area.
- Bilingual (Spanish) candidates preferred.
- BS/BA degree in a related field preferred.
- Experience with EHR (electronic health records) systems.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
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