outreach care specialist

About the role

The Outreach Care Specialist role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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
• Captures and 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 H.S. diploma or equivalent 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: Customer Service, Working Remotely, Dialer System, Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred, Bilingual candidates preferred.

Qualifications

• Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Skills

• None specified

Benefits

• Medical
• Dental
• Vision
• Short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

Pay

• Commensurate with experience

Schedule

• Shift: M-F 8am-5pm CST
• Location: Virtual

Who We Are

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.

How We Work

• We are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
• Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Additional Information

• 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 elevancehealthjobssupport@elevancehealth.com for assistance.
• Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
• Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.