Care Management Outreach Specialist

2 weeks ago

Henderson, Nevada, United States Elevance Health Full time

Position Title: Care Management Outreach Specialist

Location: This role will require a combination of remote and in-office work. Candidates should ideally be located within a 50-mile radius of our PulsePoint facilities.

The Care Management Outreach Specialist is tasked with establishing communication between Care Management initiatives and designated members. Operating under general oversight, this position involves managing both incoming and outgoing calls to engage eligible members and inform them about program offerings.

Key Responsibilities:

  • Collects and documents pertinent member details via phone in accordance with established protocols.
  • Promotes member involvement in Care Management initiatives by articulating the advantages, services available, and overall significance of the programs.
  • Records specifics of each call and utilizes call scripts tailored to client requirements.
  • Directs member inquiries to the appropriate clinical personnel.
  • Facilitates referrals and monitors consultations from healthcare providers for enrolled Care Management participants.
  • Gathers information from diverse sources including hospitals, health insurance plans, and medical offices.
  • Contacts physician offices for necessary demographic information when required.
  • Provides guidance and support to junior Health Program Advocates.

Essential Qualifications:

  • High school diploma or equivalent qualification.
  • A minimum of 6 months of relevant work experience; or a combination of education and experience that meets the job criteria.

Preferred Skills:

  • Availability to work from 7:00 AM to 4:00 PM PST is strongly preferred.

For individuals working on-site or remotely in designated areas, the salary range for this position is $17.78/hr. to $26.66/hr. Eligible locations include various states.

Alongside the salary, Elevance Health offers a comprehensive benefits package, incentive programs, stock purchase options, and 401k contributions, all subject to eligibility requirements.

Job Level: Non-Management Non-Exempt

Work Schedule: 1st Shift (United States of America)

Job Family: CUS > Care Representatives

Company Overview: Elevance Health is committed to improving lives and communities while simplifying healthcare. As a Fortune 25 organization with a strong healthcare legacy, we are in search of dedicated leaders at all levels to positively influence our members and the communities we serve.

Work Environment: At Elevance Health, we are cultivating a culture that supports our strategic goals while encouraging personal and professional growth among our team members. Our core values and behaviors are the foundation of our culture, steering us towards achieving our objectives and shared success for all stakeholders.

Join us at Elevance Health, where competitive total rewards await you, including merit increases, paid holidays, PTO, incentive bonuses, medical, dental, vision, and disability benefits, 401(k) with match, stock purchase plan, life insurance, and wellness programs.

Note: This role operates within a Hybrid Workforce Strategy. Candidates must reside within 50 miles or a 1-hour commute of a relevant Elevance Health location and may be required to work on-site periodically.

Elevance Health prioritizes the well-being of our team and communities, mandating COVID-19 vaccination for new hires in specific patient/member-facing roles. Compliance with relevant laws and regulations is crucial.

Elevance Health is an Equal Opportunity Employer that values diversity. Qualified applicants will be considered without regard to various personal characteristics. Accommodations are available for candidates requiring assistance during the application process.

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