Medical Specialist
4 weeks ago
The Mental Health Outreach Care Specialist II plays a crucial role in ensuring that member treatment plans are followed on moderately complex cases. This position is responsible for proactively identifying ways to improve the health of our members and meet quality goals.
Key Responsibilities:
- Assess member compliance with medical treatment plans via telephone or through on-site visits.
- Identify opportunities that impact quality goals and recommend process improvements.
- 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.
- Serve as preceptor for new associates and participate in or lead projects with cross-functional teams.
Requirements:
- BS/BA degree in a related field preferred.
- Bilingual candidates preferred.
About Elevance Health:
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.
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.
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. 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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