Outreach Care Specialist (US)

About the role

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Responsibilities

• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
• Affords assessments of member compliance with medical treatment plans via telephone or through on-site visits.
• Identifies barriers to plan compliance and coordinates resolutions and/or assist with SDoH needs.
• 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 coordination of 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

• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
• Certification as a Community Health Worker, preferred.
• Experience working in the community, preferred.
• Experience working with individuals and families dealing with chronic health conditions, behavioral health issues, and disabilities preferred.
• Proficient phone skills, preferred.
• Experienced and comfortable with taking directions, following processes, and coordinating care plan needs, preferred.
• Bilingual candidates preferred.

Qualifications

Minimum Qualifications: 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.

Skills

Preferred Skills, Capabilities And Experiences: Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred. Certification as a Community Health Worker, preferred. Experience working in the community, preferred. Experience working with individuals and families dealing with chronic health conditions, behavioral health issues, and disabilities preferred. Proficient phone skills, preferred. Experienced and comfortable with taking directions, following processes, and coordinating care plan needs, preferred. Bilingual candidates preferred.

Benefits

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For Carelon - CareBridge business unit, bilingual or multi-language skills may be required.

Pay

Market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Schedule

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.