Care Specialist
1 month ago
We are seeking a highly motivated and organized Care Specialist - Community Outreach to join our team at Elevance Health. The successful candidate will be responsible for providing individual and family support to ensure members are connected to community services, resources, and necessary care coordination.
Key Responsibilities:
- 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.
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:
- 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.
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.
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