Outreach Care Specialist II (US)

About the role

The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

Responsibilities

• Schedules appointments or enrolls members in programs to coordinate follow-up care plan needs.
• Affirms 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.
• Collaborates with agencies identified in appropriate contracts to identify and refer members to local, state, or federally funded programs.
• Coaches members on ways to reduce health risks.
• Prepares reports to document case and compliance updates.
• Maintains relationships with agencies identified in appropriate contracts.
• Serves as a preceptor for new associates and participates in or leads projects with cross-functional teams.

Requirements

• Requires a high school diploma and a minimum of 3 years related experience; or any combination of education and experience which would provide an equivalent background.
• Preferred skills include certification as a nurse assistant or medical assistant and/or a bachelor's degree in a related field, and bilingual proficiency.

Qualifications

• High school diploma and 3+ years related experience.
• Preferred: Certified Nurse Assistant or Medical Assistant, Bachelor's Degree in a related field, and bilingual proficiency.

Skills

• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Strong organizational and problem-solving skills.
• Proficiency in Microsoft Office Suite.

Benefits

Elevance Health offers a comprehensive benefits package, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and a 401(k) match. Additional benefits include medical, dental, vision, short and long-term disability, life insurance, wellness programs, and financial education resources.

Pay

The Outreach Care Specialist II position offers a salary range of $24.06/hr to $30.07/hr, depending on location and experience.

Schedule

This 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.

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

At Elevance Health, 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.

Equal Employment Opportunity

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.