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Outreach Care Specialist
Elevance Health. Coordinate follow-up care plan needs by scheduling appointments or enrolling members in programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating care plans, assessing member compliance, and recommending process improvements to enhance health outcomes. Proficient in building relationships with agencies and preparing compliance documentation.
Highest-signal resume keywords
Care Plan CoordinationMember Compliance AssessmentProcess Improvement RecommendationsRelationship ManagementBilingual Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementTreatment Plan ModificationHealth Risk CoachingReport PreparationAppointment Scheduling
Soft Skills
Problem SolvingInterpersonal CommunicationCoaching
Tools & Technologies
Microsoft Suite Applications
Certifications & Qualifications
Certified Nurse AssistantCertified Medical Assistant
Industry Keywords
Quality GoalsHealth CompliancePatient CareCommunity ResourcesVaccination Requirements
About the role
Key responsibilities & impact- Coordinate follow-up care plan needs by scheduling appointments or enrolling members in programs
- Assess member compliance with medical treatment plans by telephone or through on-site visits
- Identify barriers to plan compliance and coordinate resolutions
- Identify opportunities affecting quality goals and recommend process improvements
- Recommend treatment plan modifications and determine the need for additional services with case management and providers
- Coordinate identification of and referrals to local, state, or federally funded programs
- Coach members on ways to reduce health risks
- Prepare reports documenting case and compliance updates
- Establish and maintain relationships with agencies identified in appropriate contracts
- Ensure appropriate member treatment plans are followed on less complex cases
- Proactively identify ways to improve member health and meet quality goals
Requirements
What you’ll need- H.S. diploma or equivalent
- Minimum of 1 year related experience
- Any combination of education and experience which would provide an equivalent background
- Eastern time zone preferred
- Candidates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted as required by law
- Certified nurse assistant or certified medical assistant preferred
- BS/BA degree in a related field preferred
- Bilingual candidates preferred
- Proficiency in Microsoft Suite applications
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work flexibility, except required in-person training sessions