Outreach Care Specialist Lead

About the role

The Outreach Care Specialist Lead is responsible for ensuring that appropriate member treatment plans are followed on the most 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 plans.
• 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.
• Calls for referrals 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 contracts.
• Serves as a team lead.
• Participates in cross-functional teams on projects, initiatives, and process improvement activities.

Requirements

• Requires a H.S. diploma or equivalent and 5 years of related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences

• Behavioral/Mental Health experience.
• Certified nurse assistant or certified medical assistant.
• Bilingual.
• Master’s degree in social work, behavioral health, or closely related field.
• 3+ years of project/program management experience, preferably in behavioral health, child/youth services, healthcare, or cross-system care coordination.
• Experience working in a lead role on one or more projects.

Benefits

Elevance Health offers 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 salary range for this specific position is $31.36/hr. to $47.05/hr., based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Schedule

Associates in this role are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Equal Opportunity Employer

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.